NPI: 1396518353 · MARYSVILLE, OH 43040 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,105 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 195 | 189 | $4K | |
| 92250 | 215 | 200 | $4K | |
| 92015 | 198 | 188 | $3K | |
| 92341 | 111 | 104 | $2K | |
| 92340 | 73 | 70 | $756.88 | |
| 92273 | 14 | 13 | $310.20 | |
| 92012 | 15 | 15 | $143.70 | |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 28 | 25 | $0.00 |
| V2784 | Lens polycarb or equal | 14 | 14 | $0.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 143 | 135 | $0.00 |
| V2020 | Vision svcs frames purchases | 99 | 94 | $0.00 |