NPI: 1679773055 · SYCAMORE, IL 60178 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 34 | $549.23 |
| 2019 | 745 | $20K |
| 2020 | 1,527 | $53K |
| 2021 | 1,436 | $41K |
| 2022 | 143 | $5K |
| 2023 | 93 | $3K |
| 2024 | 98 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 580 | 425 | $25K | |
| 92014 | 531 | 498 | $21K | |
| 92004 | 457 | 421 | $20K | |
| V2100 | Lens spher single plano 4.00 | 330 | 230 | $19K |
| 92015 | 933 | 841 | $16K | |
| 92340 | 343 | 309 | $9K | |
| V2025 | Eyeglasses delux frames | 404 | 302 | $8K |
| 99214 | 70 | 57 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 163 | 140 | $3K |
| V2020 | Vision svcs frames purchases | 181 | 168 | $1K |
| 92250 | 26 | 26 | $807.71 | |
| V2784 | Lens polycarb or equal | 58 | 39 | $374.20 |