NPI: 1417900077 · CADILLAC, MI 49601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 500 | $12K |
| 2019 | 65 | $1K |
| 2020 | 46 | $734.31 |
| 2021 | 37 | $629.64 |
| 2022 | 149 | $3K |
| 2023 | 322 | $8K |
| 2024 | 781 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 335 | 334 | $14K |
| 92340 | 569 | 559 | $11K | |
| 92015 | 573 | 570 | $6K | |
| 92004 | 96 | 95 | $5K | |
| 92014 | 131 | 131 | $4K | |
| V2020 | Vision svcs frames purchases | 96 | 96 | $1K |
| 92341 | 43 | 42 | $995.97 | |
| V2100 | Lens spher single plano 4.00 | 19 | 19 | $456.00 |
| 92250 | 13 | 13 | $208.36 | |
| V2784 | Lens polycarb or equal | 25 | 20 | $84.00 |