NPI: 1497284087 · JOLIET, IL 60431 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 32 | $1K |
| 2021 | 637 | $21K |
| 2022 | 1,991 | $53K |
| 2023 | 3,505 | $87K |
| 2024 | 1,138 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,150 | 1,149 | $50K | |
| V2020 | Vision svcs frames purchases | 1,075 | 1,071 | $41K |
| 92014 | 705 | 702 | $30K | |
| 92015 | 1,880 | 1,870 | $27K | |
| 92340 | 609 | 603 | $18K | |
| V2784 | Lens polycarb or equal | 1,054 | 1,051 | $13K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 550 | 548 | $6K |
| 92012 | 76 | 76 | $3K | |
| V2100 | Lens spher single plano 4.00 | 138 | 138 | $3K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 66 | 66 | $612.48 |