NPI: 1457421612 · SIDNEY, NE 69162 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 562 | $15K |
| 2019 | 483 | $13K |
| 2020 | 457 | $12K |
| 2021 | 1,275 | $36K |
| 2022 | 1,337 | $39K |
| 2023 | 1,170 | $34K |
| 2024 | 617 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 955 | 941 | $40K | |
| 92014 | 717 | 682 | $36K | |
| 92015 | 1,847 | 1,799 | $30K | |
| V2020 | Vision svcs frames purchases | 774 | 765 | $28K |
| 92004 | 243 | 237 | $16K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 291 | 289 | $8K |
| V2784 | Lens polycarb or equal | 289 | 288 | $6K |
| 92012 | 27 | 27 | $1K | |
| V2756 | Eye glass case | 734 | 728 | $805.94 |
| 92002 | 12 | 12 | $455.16 | |
| 3072F | 12 | 12 | $0.00 |