NPI: 1588857684 · GARDEN CITY, MI 48135 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,366 | $54K |
| 2019 | 2,315 | $40K |
| 2020 | 2,044 | $42K |
| 2021 | 1,975 | $47K |
| 2022 | 1,893 | $47K |
| 2023 | 1,559 | $41K |
| 2024 | 1,239 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 1,677 | 1,667 | $73K |
| V2020 | Vision svcs frames purchases | 2,818 | 2,803 | $68K |
| S0621 | Routine ophthalmological exa | 1,483 | 1,470 | $68K |
| 92340 | 3,353 | 3,338 | $62K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,853 | 1,802 | $23K |
| 92341 | 270 | 268 | $6K | |
| V2745 | Tint, any color/solid/grad | 801 | 792 | $4K |
| 92015 | 725 | 722 | $894.81 | |
| V2100 | Lens spher single plano 4.00 | 23 | 23 | $496.00 |
| V2200 | Lens spher bifoc plano 4.00d | 15 | 15 | $284.98 |
| V2756 | Eye glass case | 766 | 756 | $139.54 |
| 3072F | 308 | 303 | $0.00 | |
| V2755 | Uv lens/es | 299 | 298 | $0.00 |