NPI: 1558901652 · OMAHA, NE 68105 · Eyewear Supplier · NPI assigned 01/07/2020
| Authorized Official | NOBLE, BETSY (PAYER RELATIONS MANAGER) |
| NPI Enumeration Date | 01/07/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 234 | $7K |
| 2021 | 580 | $18K |
| 2022 | 449 | $14K |
| 2023 | 805 | $26K |
| 2024 | 648 | $20K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 1,342 | 1,327 | $36K |
| 92341 | 582 | 579 | $20K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 392 | 382 | $13K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 225 | 222 | $11K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 127 | 127 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 36 | 36 | $724.13 |
| 92342 | 12 | 12 | $420.00 |