NPI: 1639582901 · WATERLOO, IA 50702 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,147 | $59K |
| 2019 | 1,273 | $68K |
| 2020 | 883 | $49K |
| 2021 | 1,150 | $62K |
| 2022 | 875 | $47K |
| 2023 | 694 | $39K |
| 2024 | 391 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,457 | 2,402 | $150K | |
| 92004 | 1,611 | 1,581 | $141K | |
| V2020 | Vision svcs frames purchases | 1,753 | 1,696 | $44K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 334 | 323 | $8K |
| 92012 | 25 | 25 | $958.15 | |
| V2100 | Lens spher single plano 4.00 | 40 | 39 | $958.10 |
| V2784 | Lens polycarb or equal | 39 | 37 | $294.28 |
| 92015 | 154 | 138 | $90.30 |