NPI: 1386731511 · DEARBORN, MI 48126 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,558 | $382K |
| 2019 | 4,341 | $141K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 2,028 | 2,012 | $97K |
| S0620 | Routine ophthalmological exa | 1,798 | 1,795 | $82K |
| 99214 | 1,357 | 1,348 | $81K | |
| 92340 | 3,230 | 3,219 | $66K | |
| V2020 | Vision svcs frames purchases | 1,677 | 1,674 | $51K |
| 99213 | 1,136 | 1,074 | $46K | |
| 99203 | 503 | 503 | $30K | |
| 92083 | 525 | 525 | $19K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,183 | 1,178 | $16K |
| 92250 | 436 | 436 | $14K | |
| 92341 | 337 | 337 | $8K | |
| V2100 | Lens spher single plano 4.00 | 478 | 475 | $6K |
| 92133 | 116 | 116 | $2K | |
| 92020 | 86 | 86 | $1K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 61 | 61 | $959.21 |
| 92015 | 80 | 80 | $887.20 | |
| 76514 | 67 | 67 | $546.17 | |
| V2107 | Spherocylinder 4.25d/12-2d | 16 | 16 | $239.78 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 14 | 14 | $193.25 |
| V2756 | Eye glass case | 585 | 582 | $132.57 |
| 2022F | 186 | 185 | $0.00 |