NPI: 1578512893 · DAYTON, OH 45404 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 37,219 | $772K |
| 2019 | 40,774 | $908K |
| 2020 | 10,922 | $350K |
| 2021 | 1,482 | $50K |
| 2022 | 1,128 | $36K |
| 2023 | 621 | $19K |
| 2024 | 13 | $260.91 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 12,956 | 12,092 | $536K | |
| 92015 | 16,288 | 15,598 | $329K | |
| 99203 | 5,630 | 5,402 | $295K | |
| 99204 | 2,360 | 2,247 | $183K | |
| 92340 | 8,997 | 7,296 | $148K | |
| 99214 | 2,295 | 2,118 | $137K | |
| V2784 | Lens polycarb or equal | 11,878 | 4,506 | $130K |
| V2020 | Vision svcs frames purchases | 7,631 | 6,156 | $109K |
| 92060 | 4,240 | 4,047 | $80K | |
| S0580 | Polycarb lens | 3,870 | 1,729 | $41K |
| 67311 | 137 | 73 | $39K | |
| V2100 | Lens spher single plano 4.00 | 7,430 | 3,367 | $36K |
| 92083 | 1,082 | 1,028 | $26K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 5,382 | 2,502 | $26K |
| 92133 | 974 | 937 | $14K | |
| V2107 | Spherocylinder 4.25d/12-2d | 513 | 267 | $3K |
| 99223 | Prolong inpt eval add15 m | 30 | 26 | $1K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 225 | 116 | $1K |
| V2101 | Single visn sphere 4.12-7.00 | 148 | 79 | $747.43 |
| 50580 | 93 | 73 | $0.00 |