NPI: 1366739617 · GARDEN GROVE, CA 92840 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,120 | $63K |
| 2021 | 946 | $33K |
| 2022 | 555 | $17K |
| 2023 | 640 | $19K |
| 2024 | 713 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,658 | 1,597 | $50K |
| V2100 | Lens spher single plano 4.00 | 1,069 | 1,030 | $32K |
| 92004 | 684 | 669 | $30K | |
| 92014 | 392 | 389 | $17K | |
| 92340 | 387 | 375 | $7K | |
| 92015 | 273 | 263 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 184 | 176 | $3K |
| V2025 | Eyeglasses delux frames | 35 | 35 | $2K |
| V2784 | Lens polycarb or equal | 266 | 255 | $973.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 14 | 13 | $170.00 |
| V2107 | Spherocylinder 4.25d/12-2d | 12 | 12 | $130.00 |