NPI: 1588696280 · KETTERING, OH 45429 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 847 | $16K |
| 2021 | 1,646 | $28K |
| 2022 | 1,514 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 727 | 727 | $31K | |
| V2020 | Vision svcs frames purchases | 701 | 691 | $12K |
| 92014 | 268 | 268 | $12K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 532 | 523 | $11K |
| V2784 | Lens polycarb or equal | 348 | 339 | $4K |
| V2025 | Eyeglasses delux frames | 79 | 79 | $1K |
| V2755 | Uv lens/es | 260 | 260 | $0.00 |
| 92015 | 1,092 | 1,092 | $0.00 |