NPI: 1669622031 · MARSHALL, MN 56258 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,109 | $8K |
| 2019 | 785 | $20K |
| 2020 | 428 | $8K |
| 2021 | 85 | $1K |
| 2022 | 282 | $5K |
| 2023 | 192 | $3K |
| 2024 | 38 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 1,363 | 1,301 | $14K | |
| V2020 | Vision svcs frames purchases | 564 | 546 | $14K |
| 92014 | 290 | 254 | $9K | |
| 92340 | 320 | 309 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 174 | 169 | $2K |
| 92004 | 120 | 101 | $2K | |
| V2100 | Lens spher single plano 4.00 | 13 | 12 | $596.32 |
| V2784 | Lens polycarb or equal | 13 | 13 | $513.48 |
| 92012 | 62 | 54 | $0.00 |