NPI: 1558386953 · DAYTON, OH 45414 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,736 | $133K |
| 2019 | 5,036 | $175K |
| 2020 | 4,198 | $110K |
| 2021 | 5,163 | $136K |
| 2022 | 4,731 | $119K |
| 2023 | 4,082 | $77K |
| 2024 | 4,140 | $84K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,052 | 4,005 | $161K | |
| 92004 | 3,654 | 3,611 | $147K | |
| V2020 | Vision svcs frames purchases | 6,170 | 6,081 | $99K |
| V2100 | Lens spher single plano 4.00 | 3,829 | 3,776 | $82K |
| 92340 | 3,546 | 3,500 | $76K | |
| 99214 | 1,114 | 1,098 | $72K | |
| 99204 | 923 | 902 | $70K | |
| 92341 | 1,239 | 1,220 | $32K | |
| V2784 | Lens polycarb or equal | 3,354 | 3,298 | $29K |
| 92015 | 1,893 | 1,872 | $29K | |
| V2200 | Lens spher bifoc plano 4.00d | 827 | 819 | $26K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 140 | 138 | $3K |
| 92342 | 81 | 79 | $2K | |
| V2781 | Progressive lens per lens | 40 | 40 | $1K |
| 92012 | 40 | 40 | $1K | |
| 99213 | 21 | 21 | $915.81 | |
| 99203 | 14 | 14 | $808.64 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 13 | 13 | $440.00 |
| V2025 | Eyeglasses delux frames | 40 | 40 | $390.00 |
| 92002 | 15 | 14 | $383.46 | |
| 3072F | 69 | 67 | $20.00 | |
| 2023F | 12 | 12 | $0.00 |