NPI: 1518005412 · PORTSMOUTH, OH 45662 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,224 | $23K |
| 2021 | 1,483 | $30K |
| 2022 | 1,350 | $27K |
| 2023 | 1,132 | $17K |
| 2024 | 1,337 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,207 | 1,171 | $50K | |
| V2020 | Vision svcs frames purchases | 1,632 | 1,579 | $27K |
| V2100 | Lens spher single plano 4.00 | 1,155 | 1,121 | $21K |
| V2784 | Lens polycarb or equal | 858 | 828 | $14K |
| 92004 | 115 | 113 | $5K | |
| V2200 | Lens spher bifoc plano 4.00d | 26 | 24 | $895.00 |
| 92015 | 1,533 | 1,484 | $161.76 |