NPI: 1477991768 · CRESTON, IA 50801 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,670 | $38K |
| 2019 | 2,073 | $35K |
| 2020 | 627 | $19K |
| 2021 | 433 | $19K |
| 2022 | 262 | $14K |
| 2023 | 231 | $9K |
| 2024 | 100 | $942.30 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,499 | 1,472 | $84K | |
| V2020 | Vision svcs frames purchases | 983 | 927 | $24K |
| 92004 | 193 | 190 | $16K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 351 | 317 | $7K |
| V2100 | Lens spher single plano 4.00 | 136 | 121 | $3K |
| V2756 | Eye glass case | 583 | 557 | $578.88 |
| 99212 | 14 | 12 | $280.87 | |
| 92015 | 663 | 651 | $120.40 | |
| G8427 | Docrev cur meds by elig clin | 115 | 101 | $0.00 |
| G8783 | Bp scrn perf rec interval | 94 | 84 | $0.00 |
| 4004F | 12 | 12 | $0.00 | |
| 1036F | 652 | 606 | $0.00 | |
| G9903 | Pt scrn tbco id as non user | 101 | 92 | $0.00 |