NPI: 1477615524 · GRAYSLAKE, IL 60030 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 71 | $3K |
| 2021 | 710 | $20K |
| 2022 | 795 | $21K |
| 2023 | 2,250 | $60K |
| 2024 | 2,123 | $62K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 1,446 | 1,429 | $42K | |
| 92004 | 796 | 794 | $37K | |
| 92014 | 685 | 683 | $30K | |
| 92015 | 1,576 | 1,573 | $25K | |
| V2020 | Vision svcs frames purchases | 706 | 697 | $19K |
| V2784 | Lens polycarb or equal | 419 | 415 | $5K |
| V2100 | Lens spher single plano 4.00 | 196 | 189 | $5K |
| 92012 | 33 | 12 | $1K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 92 | 91 | $1K |