NPI: 1649837964 · BOARDMAN, OH 44512 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 629 | $13K |
| 2021 | 672 | $13K |
| 2022 | 681 | $13K |
| 2023 | 959 | $13K |
| 2024 | 682 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 1,041 | 1,014 | $22K |
| V2020 | Vision svcs frames purchases | 1,273 | 1,242 | $22K |
| 92015 | 599 | 567 | $8K | |
| V2784 | Lens polycarb or equal | 580 | 562 | $6K |
| 92014 | 45 | 40 | $2K | |
| S0621 | Routine ophthalmological exa | 41 | 37 | $2K |
| 92310 | 27 | 26 | $1K | |
| 92004 | 17 | 15 | $737.85 |