NPI: 1356084222 · WISCONSIN RAPIDS, WI 54494 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,687 | $46K |
| 2024 | 975 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 455 | 453 | $21K | |
| 92015 | 935 | 925 | $15K | |
| 92014 | 325 | 325 | $14K | |
| 92340 | 420 | 418 | $12K | |
| V2020 | Vision svcs frames purchases | 346 | 344 | $9K |
| V2100 | Lens spher single plano 4.00 | 95 | 95 | $1K |
| S0620 | Routine ophthalmological exa | 16 | 16 | $743.20 |
| V2784 | Lens polycarb or equal | 58 | 58 | $580.90 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 12 | 12 | $127.60 |