NPI: 1437181781 · LOVELAND, CO 80538 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 117 | $1K |
| 2019 | 108 | $1K |
| 2020 | 76 | $112.65 |
| 2021 | 676 | $24K |
| 2022 | 221 | $5K |
| 2023 | 281 | $5K |
| 2024 | 29 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 109 | 90 | $9K | |
| 92004 | 87 | 77 | $9K | |
| V2410 | Lens variab asphericity sing | 66 | 29 | $9K |
| V2020 | Vision svcs frames purchases | 155 | 78 | $5K |
| V2784 | Lens polycarb or equal | 154 | 78 | $2K |
| V2101 | Single visn sphere 4.12-7.00 | 32 | 13 | $1K |
| 92340 | 88 | 43 | $1K | |
| 92015 | 795 | 688 | $490.03 | |
| V2750 | Anti-reflective coating | 22 | 13 | $394.24 |