NPI: 1568653426 · MITCHELL, SD 57301 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 436 | $13K |
| 2019 | 407 | $10K |
| 2020 | 243 | $6K |
| 2021 | 395 | $9K |
| 2022 | 599 | $15K |
| 2023 | 881 | $16K |
| 2024 | 156 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 606 | 582 | $24K | |
| 92015 | 1,267 | 1,240 | $19K | |
| 92014 | 269 | 266 | $15K | |
| V2020 | Vision svcs frames purchases | 343 | 325 | $6K |
| 92012 | 211 | 203 | $6K | |
| 92004 | 24 | 24 | $2K | |
| V2100 | Lens spher single plano 4.00 | 72 | 68 | $2K |
| V2784 | Lens polycarb or equal | 26 | 26 | $302.12 |
| V2756 | Eye glass case | 284 | 273 | $269.76 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 15 | 12 | $233.60 |