NPI: 1417237488 · BOLINGBROOK, IL 60440 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,014 | $103K |
| 2019 | 3,424 | $104K |
| 2020 | 1,004 | $30K |
| 2021 | 1,203 | $37K |
| 2022 | 967 | $30K |
| 2023 | 884 | $26K |
| 2024 | 841 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,255 | 1,975 | $102K | |
| 92014 | 1,546 | 1,307 | $67K | |
| 92015 | 3,529 | 3,255 | $63K | |
| 92340 | 1,717 | 1,599 | $50K | |
| V2025 | Eyeglasses delux frames | 1,139 | 956 | $32K |
| V2100 | Lens spher single plano 4.00 | 543 | 424 | $25K |
| 92250 | 192 | 156 | $8K | |
| V2200 | Lens spher bifoc plano 4.00d | 30 | 12 | $5K |
| S0620 | Routine ophthalmological exa | 27 | 27 | $1K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 65 | 65 | $791.00 |
| V2784 | Lens polycarb or equal | 217 | 197 | $759.50 |
| 92012 | 12 | 12 | $540.00 | |
| V2020 | Vision svcs frames purchases | 65 | 64 | $460.40 |