NPI: 1497958227 · GARDEN CITY, KS 67846 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 747 | $25K |
| 2019 | 1,909 | $56K |
| 2020 | 1,078 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 690 | 644 | $51K | |
| V2020 | Vision svcs frames purchases | 895 | 845 | $18K |
| 92015 | 883 | 843 | $14K | |
| V2100 | Lens spher single plano 4.00 | 403 | 364 | $8K |
| 92002 | 202 | 189 | $8K | |
| V2784 | Lens polycarb or equal | 427 | 405 | $5K |
| 92012 | 108 | 104 | $4K | |
| 92004 | 32 | 32 | $2K | |
| 92014 | 26 | 26 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 68 | 68 | $1K |