NPI: 1386138121 · ROSEVILLE, CA 95661 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $245.00 |
| 2019 | 1,216 | $10K |
| 2020 | 1,458 | $37K |
| 2021 | 1,504 | $41K |
| 2022 | 1,652 | $42K |
| 2023 | 978 | $26K |
| 2024 | 854 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Eyeglasses delux frames | 1,196 | 1,195 | $58K |
| 92014 | 826 | 799 | $36K | |
| V2020 | Vision svcs frames purchases | 1,289 | 1,237 | $32K |
| 92340 | 1,689 | 1,673 | $25K | |
| V2100 | Lens spher single plano 4.00 | 796 | 763 | $20K |
| 92004 | 95 | 93 | $4K | |
| 92015 | 256 | 248 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 812 | 738 | $1K |
| V2784 | Lens polycarb or equal | 699 | 647 | $301.00 |
| V2750 | Anti-reflective coating | 18 | 18 | $0.00 |