NPI: 1376912071 · BEAVERCREEK, OH 45432 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 163 | $2K |
| 2021 | 5,703 | $120K |
| 2022 | 6,376 | $134K |
| 2023 | 6,194 | $92K |
| 2024 | 5,096 | $79K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 10,229 | 10,071 | $150K |
| V2784 | Lens polycarb or equal | 4,726 | 4,645 | $102K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 5,080 | 5,012 | $88K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,209 | 1,193 | $36K |
| V2100 | Lens spher single plano 4.00 | 913 | 898 | $16K |
| V2107 | Spherocylinder 4.25d/12-2d | 610 | 595 | $10K |
| V2303 | Lens sphcy trifocal 4.0/.12- | 227 | 227 | $9K |
| V2520 | Contact lens hydrophilic | 145 | 136 | $7K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 310 | 306 | $6K |
| V2521 | Cntct lens hydrophilic toric | 41 | 40 | $3K |
| 92340 | 42 | 42 | $0.00 |