NPI: 1659420818 · ORLAND PARK, IL 60462 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 17 | $185.80 |
| 2021 | 151 | $3K |
| 2022 | 281 | $11K |
| 2023 | 902 | $22K |
| 2024 | 2,191 | $64K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 754 | 726 | $31K | |
| 92014 | 488 | 470 | $21K | |
| 92340 | 722 | 696 | $20K | |
| 92015 | 879 | 849 | $14K | |
| V2020 | Vision svcs frames purchases | 258 | 255 | $8K |
| 92341 | 142 | 141 | $4K | |
| S0621 | Routine ophthalmological exa | 26 | 26 | $1K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 84 | 78 | $854.92 |
| V2100 | Lens spher single plano 4.00 | 51 | 43 | $568.66 |
| V2025 | Eyeglasses delux frames | 12 | 12 | $120.00 |
| 3072F | 126 | 126 | $0.00 |