NPI: 1386078020 · BONITA, CA 91902 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 155 | $635.09 |
| 2019 | 123 | $206.10 |
| 2020 | 638 | $24K |
| 2021 | 2,533 | $152K |
| 2022 | 2,654 | $171K |
| 2023 | 2,892 | $188K |
| 2024 | 1,953 | $137K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,350 | 3,137 | $139K |
| 92004 | 1,876 | 1,866 | $135K | |
| V2100 | Lens spher single plano 4.00 | 1,469 | 1,266 | $131K |
| V2200 | Lens spher bifoc plano 4.00d | 1,068 | 1,068 | $128K |
| 92014 | 1,430 | 1,421 | $126K | |
| 92015 | 1,168 | 1,165 | $6K | |
| 92340 | 533 | 531 | $5K | |
| 92012 | 37 | 37 | $3K | |
| V2784 | Lens polycarb or equal | 17 | 13 | $510.00 |