NPI: 1417994914 · MONROE, MI 48162 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,955 | $23K |
| 2019 | 2,294 | $15K |
| 2020 | 1,214 | $7K |
| 2021 | 1,192 | $7K |
| 2022 | 822 | $5K |
| 2023 | 16 | $110.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 1,594 | 1,578 | $34K | |
| 92014 | 180 | 180 | $8K | |
| 92015 | 327 | 327 | $6K | |
| 92341 | 112 | 112 | $3K | |
| V2020 | Vision svcs frames purchases | 2,005 | 1,984 | $1K |
| 92004 | 28 | 28 | $1K | |
| 92083 | 24 | 24 | $646.80 | |
| 99213 | 13 | 13 | $566.93 | |
| V2100 | Lens spher single plano 4.00 | 297 | 295 | $497.60 |
| V2784 | Lens polycarb or equal | 1,887 | 1,865 | $91.00 |
| V2200 | Lens spher bifoc plano 4.00d | 16 | 16 | $75.40 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 925 | 917 | $0.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 37 | 37 | $0.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 48 | 48 | $0.00 |