NPI: 1427626357 · OREGON, OH 43616 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 156 | $3K |
| 2022 | 1,759 | $25K |
| 2023 | 199 | $2K |
| 2024 | 105 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 268 | 268 | $12K | |
| 92015 | 383 | 383 | $8K | |
| 92340 | 346 | 344 | $7K | |
| 92004 | 56 | 56 | $3K | |
| 99213 | 23 | 20 | $978.24 | |
| V2100 | Lens spher single plano 4.00 | 36 | 36 | $576.00 |
| V2020 | Vision svcs frames purchases | 419 | 417 | $520.00 |
| 92341 | 14 | 14 | $377.58 | |
| V2784 | Lens polycarb or equal | 437 | 434 | $150.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 237 | 235 | $0.00 |