NPI: 1508931627 · KANSAS CITY, MO 64111 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,490 | $138K |
| 2019 | 5,914 | $122K |
| 2020 | 1,181 | $24K |
| 2021 | 110 | $2K |
| 2022 | 44 | $2K |
| 2023 | 157 | $8K |
| 2024 | 102 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,079 | 2,522 | $56K |
| V2784 | Lens polycarb or equal | 2,886 | 1,832 | $54K |
| 92004 | 1,205 | 1,045 | $53K | |
| 92014 | 1,276 | 1,080 | $52K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,810 | 1,217 | $23K |
| 92015 | 3,696 | 3,263 | $17K | |
| 92002 | 539 | 510 | $16K | |
| 92012 | 518 | 475 | $15K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 245 | 187 | $7K |
| V2100 | Lens spher single plano 4.00 | 585 | 376 | $6K |
| V2303 | Lens sphcy trifocal 4.0/.12- | 33 | 17 | $1K |
| 92340 | 126 | 126 | $750.00 |