NPI: 1457693616 · BELLEFONTAINE, OH 43311 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,307 | $334K |
| 2019 | 15,984 | $382K |
| 2020 | 4,362 | $91K |
| 2021 | 3,079 | $59K |
| 2022 | 2,102 | $40K |
| 2023 | 2,518 | $44K |
| 2024 | 208 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 3,740 | 3,678 | $164K | |
| V2410 | Lens variab asphericity sing | 2,160 | 2,128 | $134K |
| 92014 | 3,218 | 3,167 | $132K | |
| 92340 | 5,661 | 5,579 | $113K | |
| 92015 | 7,234 | 7,119 | $90K | |
| V2020 | Vision svcs frames purchases | 4,532 | 4,447 | $80K |
| V2784 | Lens polycarb or equal | 2,406 | 2,365 | $50K |
| V2430 | Lens variable asphericity bi | 472 | 461 | $42K |
| V2100 | Lens spher single plano 4.00 | 3,086 | 3,035 | $40K |
| V2760 | Scratch resistant coating | 3,884 | 3,815 | $38K |
| V2755 | Uv lens/es | 3,861 | 3,796 | $29K |
| 92341 | 870 | 849 | $21K | |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 196 | 194 | $9K |
| V2200 | Lens spher bifoc plano 4.00d | 524 | 514 | $9K |
| 92342 | 24 | 24 | $660.36 | |
| 3072F | 692 | 682 | $0.01 |