NPI: 1437557402 · ANKENY, IA 50021 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 281 | $7K |
| 2019 | 837 | $17K |
| 2020 | 451 | $9K |
| 2021 | 718 | $15K |
| 2022 | 683 | $14K |
| 2023 | 637 | $8K |
| 2024 | 676 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,627 | 2,442 | $55K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,405 | 1,308 | $25K |
| V2100 | Lens spher single plano 4.00 | 131 | 115 | $2K |
| V2784 | Lens polycarb or equal | 92 | 88 | $380.70 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 15 | 13 | $220.83 |
| V2799 | Misc vision item or service | 13 | 13 | $0.00 |