NPI: 1538240940 · HAMILTON, OH 45011 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,633 | $29K |
| 2021 | 937 | $17K |
| 2022 | 2,214 | $47K |
| 2023 | 1,061 | $24K |
| 2024 | 1,727 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,767 | 1,650 | $31K |
| V2100 | Lens spher single plano 4.00 | 1,227 | 1,192 | $29K |
| 92014 | 755 | 703 | $28K | |
| 92004 | 558 | 539 | $22K | |
| 92015 | 1,650 | 1,570 | $19K | |
| V2784 | Lens polycarb or equal | 1,253 | 1,219 | $15K |
| 92340 | 227 | 223 | $5K | |
| V2200 | Lens spher bifoc plano 4.00d | 75 | 72 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 60 | 36 | $570.00 |