NPI: 1578537007 · WEST DES MOINES, IA 50266 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,164 | $34K |
| 2019 | 905 | $24K |
| 2020 | 368 | $9K |
| 2021 | 446 | $10K |
| 2022 | 413 | $11K |
| 2023 | 180 | $4K |
| 2024 | 133 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,328 | 1,315 | $39K |
| 92014 | 545 | 542 | $37K | |
| V2100 | Lens spher single plano 4.00 | 270 | 265 | $6K |
| 92012 | 71 | 71 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 119 | 117 | $3K |
| 92004 | 15 | 15 | $1K | |
| V2756 | Eye glass case | 1,234 | 1,226 | $1K |
| V2200 | Lens spher bifoc plano 4.00d | 27 | 27 | $997.38 |