NPI: 1487067609 · RANCHO CUCAMONGA, CA 91701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,180 | $33K |
| 2019 | 2,261 | $56K |
| 2020 | 2,924 | $80K |
| 2021 | 3,202 | $83K |
| 2022 | 3,193 | $72K |
| 2023 | 3,614 | $82K |
| 2024 | 3,848 | $89K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,738 | 3,730 | $138K | |
| 92004 | 2,209 | 2,206 | $89K | |
| V2020 | Vision svcs frames purchases | 3,856 | 3,843 | $79K |
| 92342 | 1,527 | 1,520 | $63K | |
| 92015 | 5,978 | 5,963 | $47K | |
| 92340 | 1,870 | 1,866 | $40K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 598 | 598 | $21K |
| 92341 | 233 | 233 | $7K | |
| 92225 | 71 | 70 | $6K | |
| 92134 | 97 | 85 | $3K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 27 | 26 | $1K |
| 99213 | 18 | 15 | $391.92 |