NPI: 1649725417 · MARSHALL, MN 56258 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 727 | $3K |
| 2019 | 1,574 | $69K |
| 2020 | 1,484 | $64K |
| 2021 | 1,847 | $77K |
| 2022 | 2,418 | $105K |
| 2023 | 2,725 | $139K |
| 2024 | 2,487 | $136K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 1,938 | 1,693 | $138K |
| 92014 | 1,451 | 1,423 | $128K | |
| V2100 | Lens spher single plano 4.00 | 1,550 | 1,368 | $118K |
| V2020 | Vision svcs frames purchases | 1,919 | 1,720 | $64K |
| 92004 | 693 | 660 | $61K | |
| 92340 | 2,149 | 1,963 | $48K | |
| 92015 | 2,689 | 2,599 | $33K | |
| 99072 | 847 | 821 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 26 | 26 | $154.68 |