NPI: 1598917965 · SYCAMORE, IL 60178 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 126 | $4K |
| 2019 | 768 | $25K |
| 2020 | 1,064 | $34K |
| 2021 | 1,506 | $50K |
| 2022 | 1,983 | $58K |
| 2023 | 2,004 | $57K |
| 2024 | 1,704 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,210 | 2,051 | $95K | |
| 92004 | 1,657 | 1,513 | $75K | |
| 92015 | 3,602 | 3,323 | $57K | |
| 92340 | 1,047 | 996 | $31K | |
| 92012 | 192 | 165 | $9K | |
| V2100 | Lens spher single plano 4.00 | 140 | 139 | $6K |
| V2020 | Vision svcs frames purchases | 139 | 139 | $5K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 84 | 84 | $861.65 |
| 99214 | 12 | 12 | $741.73 | |
| V2025 | Eyeglasses delux frames | 45 | 45 | $486.00 |
| V2784 | Lens polycarb or equal | 27 | 27 | $347.22 |