NPI: 1629004767 · NORMAL, IL 61761 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,282 | $29K |
| 2020 | 1,802 | $45K |
| 2021 | 3,717 | $88K |
| 2022 | 3,008 | $71K |
| 2023 | 2,950 | $70K |
| 2024 | 2,083 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,759 | 1,647 | $76K | |
| 92340 | 2,024 | 1,800 | $59K | |
| 92015 | 3,246 | 2,978 | $58K | |
| 92004 | 1,260 | 1,138 | $57K | |
| V2025 | Eyeglasses delux frames | 1,163 | 1,089 | $36K |
| V2100 | Lens spher single plano 4.00 | 2,020 | 1,812 | $33K |
| V2020 | Vision svcs frames purchases | 1,426 | 1,276 | $13K |
| V2784 | Lens polycarb or equal | 1,567 | 1,388 | $12K |
| 92341 | 128 | 123 | $4K | |
| V2200 | Lens spher bifoc plano 4.00d | 169 | 160 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 80 | 78 | $906.50 |