NPI: 1376681031 · DUBLIN, OH 43016 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,030 | $20K |
| 2021 | 1,058 | $21K |
| 2022 | 752 | $17K |
| 2023 | 1,595 | $18K |
| 2024 | 3,583 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 884 | 874 | $33K | |
| 92004 | 817 | 808 | $30K | |
| V2020 | Vision svcs frames purchases | 1,899 | 1,873 | $27K |
| V2100 | Lens spher single plano 4.00 | 978 | 961 | $16K |
| V2784 | Lens polycarb or equal | 634 | 622 | $11K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 347 | 343 | $6K |
| 92015 | 1,674 | 1,657 | $2K | |
| 92340 | 519 | 515 | $2K | |
| V2200 | Lens spher bifoc plano 4.00d | 66 | 66 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 44 | 44 | $1K |
| V2760 | Scratch resistant coating | 79 | 78 | $730.00 |
| V2755 | Uv lens/es | 77 | 76 | $432.00 |