NPI: 1376141754 · GRESHAM, OR 97080 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $848.35 |
| 2022 | 521 | $21K |
| 2023 | 1,654 | $72K |
| 2024 | 3,045 | $155K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,265 | 1,217 | $116K | |
| 92340 | 891 | 851 | $57K | |
| V2784 | Lens polycarb or equal | 747 | 718 | $22K |
| 92014 | 158 | 151 | $15K | |
| V2410 | Lens variab asphericity sing | 315 | 298 | $13K |
| 92015 | 827 | 804 | $13K | |
| V2020 | Vision svcs frames purchases | 807 | 775 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 179 | 169 | $3K |
| 92250 | 45 | 42 | $1K |