NPI: 1457350530 · WESTERVILLE, OH 43081 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,984 | $35K |
| 2019 | 2,366 | $66K |
| 2020 | 1,075 | $29K |
| 2021 | 1,417 | $29K |
| 2022 | 894 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 1,973 | 1,937 | $33K | |
| 92341 | 1,236 | 1,236 | $32K | |
| S0580 | Polycarb lens | 756 | 756 | $23K |
| V2020 | Vision svcs frames purchases | 857 | 857 | $20K |
| V2204 | Lens sphcy bifocal 4.00d/2.1 | 820 | 820 | $20K |
| 92014 | 517 | 506 | $17K | |
| 92015 | 853 | 843 | $16K | |
| 99309 | 543 | 529 | $10K | |
| 92004 | 117 | 112 | $3K | |
| 92250 | 26 | 26 | $307.64 | |
| V2760 | Scratch resistant coating | 12 | 12 | $120.00 |
| V2755 | Uv lens/es | 12 | 12 | $72.00 |
| 99308 | 14 | 14 | $0.00 |