NPI: 1609915578 · ZANESVILLE, OH 43701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $520.75 |
| 2020 | 897 | $18K |
| 2021 | 1,087 | $29K |
| 2022 | 1,441 | $37K |
| 2023 | 1,107 | $20K |
| 2024 | 730 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,100 | 1,084 | $34K | |
| V2020 | Vision svcs frames purchases | 1,714 | 1,701 | $31K |
| 92004 | 626 | 624 | $24K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 908 | 894 | $18K |
| V2784 | Lens polycarb or equal | 582 | 573 | $5K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 50 | 50 | $805.20 |
| 92015 | 219 | 218 | $614.74 | |
| 99203 | 15 | 15 | $0.00 | |
| V2760 | Scratch resistant coating | 28 | 28 | $0.00 |
| 99213 | 29 | 29 | $0.00 | |
| V2756 | Eye glass case | 17 | 17 | $0.00 |