NPI: 1629039789 · ROCKFORD, IL 61107 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,845 | $53K |
| 2019 | 3,277 | $97K |
| 2020 | 975 | $28K |
| 2021 | 451 | $14K |
| 2022 | 176 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 3,264 | 2,920 | $99K | |
| 92004 | 445 | 393 | $23K | |
| 92341 | 631 | 625 | $19K | |
| V2020 | Vision svcs frames purchases | 627 | 582 | $15K |
| 92015 | 727 | 654 | $14K | |
| 92014 | 247 | 222 | $13K | |
| V2100 | Lens spher single plano 4.00 | 459 | 409 | $9K |
| V2200 | Lens spher bifoc plano 4.00d | 103 | 98 | $3K |
| V2784 | Lens polycarb or equal | 221 | 191 | $1K |