NPI: 1659333870 · FORT DODGE, IA 50501 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,877 | $66K |
| 2019 | 1,246 | $46K |
| 2020 | 830 | $40K |
| 2021 | 749 | $42K |
| 2022 | 699 | $42K |
| 2023 | 481 | $27K |
| 2024 | 271 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 1,767 | 1,748 | $158K |
| V2020 | Vision svcs frames purchases | 2,183 | 2,127 | $55K |
| S0620 | Routine ophthalmological exa | 404 | 401 | $30K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 664 | 646 | $15K |
| 92012 | 116 | 116 | $7K | |
| 92002 | 72 | 72 | $5K | |
| 92004 | 30 | 29 | $3K | |
| V2100 | Lens spher single plano 4.00 | 86 | 85 | $2K |
| 92014 | 17 | 15 | $860.84 | |
| V2756 | Eye glass case | 732 | 720 | $767.88 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 16 | 14 | $443.28 |
| 92133 | 15 | 14 | $352.24 | |
| 92015 | 38 | 37 | $0.00 | |
| G8422 | Pt inelig bmi calculation | 13 | 12 | $0.00 |