NPI: 1649591082 · BEDFORD, IN 47421 · 152WP0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 936 | $24K |
| 2019 | 657 | $20K |
| 2020 | 1,040 | $37K |
| 2021 | 1,145 | $36K |
| 2022 | 1,204 | $39K |
| 2023 | 1,132 | $34K |
| 2024 | 523 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,386 | 1,338 | $106K | |
| V2020 | Vision svcs frames purchases | 1,478 | 1,416 | $42K |
| 92015 | 2,879 | 2,678 | $35K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 627 | 462 | $17K |
| 92002 | 105 | 105 | $7K | |
| 92004 | 45 | 44 | $4K | |
| V2100 | Lens spher single plano 4.00 | 39 | 30 | $1K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 19 | 12 | $783.98 |
| V2784 | Lens polycarb or equal | 59 | 59 | $326.00 |