NPI: 1467907832 · BIG RAPIDS, MI 49307 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 468 | $9K |
| 2022 | 1,239 | $23K |
| 2023 | 1,649 | $31K |
| 2024 | 1,456 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 585 | 580 | $31K | |
| 92004 | 229 | 229 | $14K | |
| V2020 | Vision svcs frames purchases | 1,102 | 1,098 | $13K |
| 92015 | 1,019 | 1,015 | $12K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 512 | 510 | $9K |
| V2784 | Lens polycarb or equal | 1,084 | 1,080 | $8K |
| 92340 | 211 | 209 | $7K | |
| V2100 | Lens spher single plano 4.00 | 39 | 39 | $663.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 31 | 31 | $479.40 |