NPI: 1477968196 · OREGON, OH 43616 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,545 | $62K |
| 2019 | 5,021 | $67K |
| 2020 | 2,977 | $31K |
| 2021 | 1,116 | $9K |
| 2022 | 58 | $391.85 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 2,645 | 2,592 | $56K | |
| 99214 | 562 | 550 | $37K | |
| 92014 | 692 | 691 | $31K | |
| 92015 | 1,085 | 1,084 | $23K | |
| 92004 | 285 | 285 | $14K | |
| 92341 | 285 | 271 | $8K | |
| 99213 | 12 | 12 | $523.32 | |
| 92133 | 14 | 14 | $223.44 | |
| V2020 | Vision svcs frames purchases | 2,860 | 2,800 | $0.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 134 | 130 | $0.00 |
| V2107 | Spherocylinder 4.25d/12-2d | 27 | 26 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,654 | 1,624 | $0.00 |
| V2784 | Lens polycarb or equal | 2,952 | 2,889 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 458 | 456 | $0.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 39 | 39 | $0.00 |
| V2781 | Progressive lens per lens | 13 | 13 | $0.00 |