NPI: 1629159173 · WHEELING, IL 60090 · Optician
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $152.00 |
| 2022 | 124 | $3K |
| 2023 | 401 | $10K |
| 2024 | 499 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 428 | 428 | $15K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 189 | 188 | $3K |
| V2025 | Deluxe frame | 120 | 119 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 123 | 123 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 176 | 175 | $2K |