NPI: 1679558712 · TRAVERSE CITY, MI 49684 · Eyewear Supplier
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 208 | $7K |
| 2020 | 55 | $1K |
| 2021 | 141 | $4K |
| 2022 | 85 | $2K |
| 2024 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 217 | 217 | $7K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 125 | 125 | $5K |
| 92340 | 134 | 133 | $3K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 25 | 25 | $284.05 |