NPI: 1558626978 · PORT HURON, MI 48060 · 156F00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 802 | $29K |
| 2019 | 4,271 | $105K |
| 2020 | 4,490 | $103K |
| 2021 | 4,488 | $119K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 3,396 | 3,340 | $157K |
| V2020 | Vision svcs frames purchases | 3,696 | 3,621 | $92K |
| 92340 | 2,859 | 2,813 | $52K | |
| 92341 | 1,158 | 1,128 | $24K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,387 | 1,366 | $14K |
| V2100 | Lens spher single plano 4.00 | 630 | 613 | $6K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 432 | 411 | $6K |
| 92015 | 248 | 237 | $3K | |
| S0620 | Routine ophthalmological exa | 49 | 49 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $198.32 |
| 3072F | 184 | 184 | $0.00 |