NPI: 1508298217 · SILVERDALE, WA 98383 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 234 | $7K |
| 2019 | 78 | $815.00 |
| 2020 | 817 | $23K |
| 2021 | 229 | $7K |
| 2022 | 40 | $582.74 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 297 | 284 | $9K |
| V2025 | Eyeglasses delux frames | 204 | 203 | $9K |
| 92014 | 171 | 162 | $8K | |
| 92340 | 282 | 281 | $4K | |
| V2100 | Lens spher single plano 4.00 | 158 | 141 | $4K |
| 92015 | 97 | 96 | $2K | |
| 92004 | 26 | 26 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 65 | 62 | $60.00 |
| V2784 | Lens polycarb or equal | 98 | 97 | $52.50 |