NPI: 1578121349 · ORLAND PARK, IL 60462 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $288.08 |
| 2024 | 4,339 | $123K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 954 | 921 | $42K | |
| 92340 | 807 | 791 | $21K | |
| 92004 | 412 | 403 | $20K | |
| 92015 | 1,293 | 1,266 | $19K | |
| V2020 | Vision svcs frames purchases | 350 | 348 | $14K |
| V2784 | Lens polycarb or equal | 307 | 307 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 179 | 179 | $2K |
| 92341 | 34 | 33 | $983.46 | |
| V2100 | Lens spher single plano 4.00 | 15 | 15 | $406.82 |