NPI: 1578969960 · BOLIVAR, MO 65613 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $0.00 |
| 2019 | 186 | $1K |
| 2020 | 390 | $5K |
| 2021 | 741 | $11K |
| 2022 | 547 | $10K |
| 2023 | 399 | $7K |
| 2024 | 181 | $932.68 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 442 | 427 | $13K |
| 92014 | 255 | 234 | $10K | |
| V2784 | Lens polycarb or equal | 687 | 337 | $5K |
| 92015 | 790 | 774 | $4K | |
| 92004 | 69 | 69 | $3K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 46 | 24 | $330.28 |
| 1036F | 42 | 41 | $0.00 | |
| G8731 | Pain neg no plan | 29 | 28 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 58 | 56 | $0.00 |
| G8785 | Bp scrn no perf at interval | 27 | 27 | $0.00 |
| G8783 | Bp scrn perf rec interval | 13 | 13 | $0.00 |