NPI: 1386616480 · HURON, SD 57350 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,145 | $152K |
| 2019 | 3,024 | $151K |
| 2020 | 1,725 | $60K |
| 2021 | 3,605 | $178K |
| 2022 | 3,991 | $185K |
| 2023 | 4,323 | $216K |
| 2024 | 3,651 | $231K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,236 | 3,027 | $279K | |
| V2020 | Vision svcs frames purchases | 4,486 | 3,914 | $242K |
| V2199 | Lens single vision not oth c | 3,570 | 3,134 | $209K |
| 92004 | 1,851 | 1,715 | $202K | |
| V2784 | Lens polycarb or equal | 1,754 | 1,534 | $68K |
| 92015 | 7,183 | 6,235 | $67K | |
| 92012 | 925 | 883 | $60K | |
| V2299 | Lens bifocal speciality | 459 | 415 | $45K |