NPI: 1396823316 · WOODBURY, MN 55125 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,375 | $7K |
| 2019 | 2,127 | $56K |
| 2020 | 2,453 | $82K |
| 2021 | 3,004 | $98K |
| 2022 | 1,815 | $47K |
| 2023 | 2,346 | $56K |
| 2024 | 1,818 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,632 | 3,483 | $99K |
| V2784 | Lens polycarb or equal | 3,652 | 3,496 | $71K |
| 92340 | 3,094 | 2,977 | $62K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,639 | 1,582 | $51K |
| 92014 | 623 | 598 | $44K | |
| 92004 | 391 | 372 | $29K | |
| 92015 | 2,170 | 2,084 | $24K | |
| 92250 | 680 | 661 | $16K | |
| V2100 | Lens spher single plano 4.00 | 43 | 39 | $880.24 |
| V2107 | Spherocylinder 4.25d/12-2d | 14 | 12 | $373.60 |