NPI: 1376759266 · BEAVERCREEK, OH 45434 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 143 | $3K |
| 2019 | 216 | $4K |
| 2020 | 90 | $971.80 |
| 2021 | 3,309 | $86K |
| 2022 | 9,028 | $227K |
| 2023 | 4,588 | $50K |
| 2024 | 4,598 | $72K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,487 | 2,465 | $130K | |
| 92004 | 1,981 | 1,953 | $93K | |
| V2020 | Vision svcs frames purchases | 5,215 | 5,132 | $73K |
| V2100 | Lens spher single plano 4.00 | 2,235 | 2,205 | $47K |
| V2784 | Lens polycarb or equal | 3,471 | 3,390 | $38K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,831 | 1,784 | $24K |
| 92310 | 298 | 298 | $17K | |
| V2200 | Lens spher bifoc plano 4.00d | 288 | 287 | $10K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 306 | 306 | $6K |
| 92015 | 3,623 | 3,596 | $4K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 122 | 118 | $830.00 |
| V2107 | Spherocylinder 4.25d/12-2d | 63 | 63 | $660.00 |
| V2744 | Tint photochromatic lens/es | 52 | 52 | $0.00 |