NPI: 1417169251 · PAGE, AZ 86040 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,831 | $86K |
| 2019 | 2,809 | $131K |
| 2020 | 2,438 | $125K |
| 2021 | 2,847 | $157K |
| 2022 | 3,115 | $155K |
| 2023 | 3,709 | $188K |
| 2024 | 3,031 | $169K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,971 | 4,944 | $344K |
| 92014 | 3,905 | 3,888 | $258K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,149 | 2,134 | $114K |
| 92015 | 5,108 | 5,084 | $88K | |
| 92004 | 1,149 | 1,143 | $87K | |
| V2100 | Lens spher single plano 4.00 | 1,154 | 1,149 | $57K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 986 | 977 | $45K |
| 99213 | 254 | 217 | $12K | |
| V2105 | Spherocylinder 4.00d/4.25-6d | 67 | 67 | $3K |
| V2108 | Spherocylinder 4.25d/2.12-4d | 24 | 24 | $1K |
| V2109 | Spherocylinder 4.25d/4.25-6d | 13 | 13 | $671.20 |