NPI: 1568776383 · SHELDON, IA 51201 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 691 | $31K |
| 2019 | 816 | $28K |
| 2020 | 1,110 | $33K |
| 2021 | 983 | $29K |
| 2022 | 697 | $19K |
| 2023 | 870 | $23K |
| 2024 | 363 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,507 | 1,480 | $100K | |
| 92004 | 433 | 422 | $37K | |
| V2020 | Vision svcs frames purchases | 1,118 | 1,053 | $27K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 281 | 235 | $6K |
| V2100 | Lens spher single plano 4.00 | 183 | 173 | $4K |
| V2756 | Eye glass case | 284 | 283 | $293.76 |
| V2784 | Lens polycarb or equal | 36 | 24 | $72.52 |
| 92015 | 1,661 | 1,620 | $0.00 | |
| V2760 | Scratch resistant coating | 27 | 27 | $0.00 |