NPI: 1578133211 · NAPERVILLE, IL 60540 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,466 | $41K |
| 2023 | 1,433 | $35K |
| 2024 | 472 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 690 | 689 | $29K | |
| 92004 | 427 | 421 | $18K | |
| 92015 | 1,203 | 1,198 | $16K | |
| V2020 | Vision svcs frames purchases | 299 | 293 | $12K |
| 92340 | 290 | 288 | $8K | |
| V2784 | Lens polycarb or equal | 313 | 308 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 124 | 124 | $1K |
| 99213 | 13 | 12 | $558.54 | |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $121.22 |