NPI: 1679567481 · FORT DODGE, IA 50501 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,508 | $40K |
| 2019 | 1,436 | $37K |
| 2020 | 625 | $20K |
| 2021 | 526 | $19K |
| 2022 | 590 | $15K |
| 2023 | 641 | $14K |
| 2024 | 334 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 1,473 | 1,464 | $69K | |
| V2020 | Vision svcs frames purchases | 1,444 | 1,415 | $35K |
| V2100 | Lens spher single plano 4.00 | 918 | 907 | $22K |
| 92002 | 290 | 283 | $16K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 206 | 200 | $5K |
| 92250 | 44 | 43 | $2K | |
| V2756 | Eye glass case | 673 | 657 | $699.84 |
| 92081 | 14 | 14 | $51.65 | |
| 92015 | 598 | 595 | $0.00 |