NPI: 1417969718 · RIVERTON, WY 82501 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,177 | $71K |
| 2019 | 809 | $48K |
| 2020 | 789 | $47K |
| 2021 | 609 | $36K |
| 2022 | 869 | $51K |
| 2023 | 868 | $50K |
| 2024 | 926 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 921 | 907 | $91K | |
| V2784 | Lens polycarb or equal | 1,013 | 996 | $83K |
| V2020 | Vision svcs frames purchases | 990 | 975 | $67K |
| 92340 | 1,017 | 999 | $32K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 547 | 540 | $32K |
| 92015 | 1,337 | 1,316 | $25K | |
| 92004 | 197 | 191 | $23K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 25 | 25 | $2K |