NPI: 1467606129 · GRAND RAPIDS, MN 55744 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,383 | $9K |
| 2019 | 943 | $24K |
| 2020 | 831 | $24K |
| 2021 | 1,030 | $27K |
| 2022 | 1,502 | $47K |
| 2023 | 2,263 | $82K |
| 2024 | 1,760 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,222 | 1,191 | $91K | |
| V2020 | Vision svcs frames purchases | 1,874 | 1,801 | $52K |
| 92340 | 1,620 | 1,570 | $35K | |
| V2784 | Lens polycarb or equal | 1,852 | 1,784 | $29K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 835 | 812 | $25K |
| 92015 | 2,076 | 2,027 | $24K | |
| 92004 | 197 | 195 | $19K | |
| 92341 | 24 | 24 | $689.70 | |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $342.89 |