NPI: 1356571962 · MASSILLON, OH 44646 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,209 | $90K |
| 2019 | 4,919 | $87K |
| 2020 | 4,915 | $82K |
| 2021 | 4,783 | $78K |
| 2022 | 4,569 | $79K |
| 2023 | 4,895 | $81K |
| 2024 | 4,723 | $93K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,301 | 4,197 | $147K | |
| 92004 | 3,196 | 3,049 | $107K | |
| 92015 | 7,738 | 7,383 | $78K | |
| V2020 | Vision svcs frames purchases | 5,262 | 5,133 | $61K |
| V2100 | Lens spher single plano 4.00 | 3,561 | 3,466 | $58K |
| 92340 | 2,734 | 2,670 | $47K | |
| V2760 | Scratch resistant coating | 2,797 | 2,725 | $26K |
| V2784 | Lens polycarb or equal | 3,004 | 2,933 | $18K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 228 | 217 | $14K |
| 92310 | 291 | 288 | $12K | |
| S0580 | Polycarb lens | 463 | 449 | $6K |
| V2500 | Contact lens pmma spherical | 126 | 126 | $5K |
| 99213 | 105 | 102 | $4K | |
| 99214 | 78 | 78 | $4K | |
| S0592 | Comp cont lens eval | 36 | 36 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 26 | 24 | $629.00 |
| 92341 | 28 | 26 | $508.70 | |
| V2300 | Lens sphere trifocal 4.00d | 25 | 25 | $448.56 |
| V2750 | Anti-reflective coating | 14 | 14 | $288.00 |