NPI: 1609387703 · SILVERTHORNE, CO 80498 · 152WS0006X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $2K |
| 2019 | 161 | $9K |
| 2020 | 227 | $10K |
| 2021 | 798 | $27K |
| 2022 | 1,359 | $47K |
| 2023 | 1,355 | $49K |
| 2024 | 1,018 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 727 | 658 | $78K | |
| 92014 | 582 | 530 | $55K | |
| V2020 | Vision svcs frames purchases | 441 | 372 | $17K |
| V2784 | Lens polycarb or equal | 594 | 501 | $11K |
| V2410 | Lens variab asphericity sing | 163 | 133 | $10K |
| V2750 | Anti-reflective coating | 478 | 406 | $6K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 105 | 81 | $4K |
| 92340 | 110 | 94 | $2K | |
| 92015 | 1,716 | 1,534 | $1K | |
| V2745 | Tint, any color/solid/grad | 28 | 26 | $147.69 |