NPI: 1447525316 · GRAND RAPIDS, MN 55744 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,539 | $9K |
| 2019 | 1,520 | $46K |
| 2020 | 1,360 | $48K |
| 2021 | 1,858 | $68K |
| 2022 | 2,738 | $103K |
| 2023 | 2,999 | $111K |
| 2024 | 2,490 | $95K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,140 | 2,115 | $163K | |
| 92004 | 815 | 801 | $84K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,731 | 1,677 | $63K |
| V2020 | Vision svcs frames purchases | 2,176 | 2,107 | $61K |
| 92340 | 1,964 | 1,905 | $43K | |
| 92015 | 3,446 | 3,404 | $42K | |
| V2784 | Lens polycarb or equal | 2,192 | 2,130 | $22K |
| V2100 | Lens spher single plano 4.00 | 28 | 28 | $1K |
| 92133 | 12 | 12 | $279.81 |