NPI: 1619159142 · JOPLIN, MO 64801 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 266 | $5K |
| 2019 | 254 | $6K |
| 2020 | 267 | $5K |
| 2021 | 464 | $5K |
| 2022 | 263 | $9K |
| 2023 | 655 | $25K |
| 2024 | 29 | $724.11 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 960 | 886 | $21K |
| 92004 | 133 | 133 | $14K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 508 | 230 | $13K |
| 92014 | 57 | 57 | $4K | |
| 92340 | 168 | 168 | $1K | |
| V2744 | Tint photochromatic lens/es | 206 | 100 | $872.04 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 30 | 13 | $789.88 |
| 92015 | 100 | 100 | $519.77 | |
| V2784 | Lens polycarb or equal | 36 | 18 | $493.98 |