NPI: 1487621678 · FLORISSANT, MO 63031 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,568 | $113K |
| 2019 | 5,161 | $115K |
| 2020 | 1,074 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,629 | 1,332 | $66K | |
| V2784 | Lens polycarb or equal | 2,785 | 2,168 | $51K |
| V2020 | Vision svcs frames purchases | 2,657 | 2,207 | $44K |
| 92004 | 913 | 778 | $39K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,155 | 1,704 | $26K |
| 92015 | 2,614 | 2,146 | $11K | |
| V2100 | Lens spher single plano 4.00 | 898 | 738 | $10K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 60 | 54 | $2K |
| V2107 | Spherocylinder 4.25d/12-2d | 68 | 60 | $1K |
| 92002 | 24 | 12 | $376.29 |