NPI: 1528265477 · LIBERAL, KS 67901 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 67 | $0.00 |
| 2019 | 1,032 | $28K |
| 2020 | 1,422 | $34K |
| 2021 | 1,453 | $41K |
| 2022 | 1,779 | $55K |
| 2023 | 1,881 | $54K |
| 2024 | 278 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,587 | 1,556 | $75K | |
| V2020 | Vision svcs frames purchases | 1,643 | 1,592 | $60K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 719 | 701 | $25K |
| 92004 | 270 | 261 | $19K | |
| V2784 | Lens polycarb or equal | 947 | 925 | $17K |
| 92015 | 2,331 | 2,220 | $9K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 166 | 163 | $6K |
| S0580 | Polycarb lens | 141 | 141 | $965.00 |
| 92250 | 108 | 101 | $780.00 |