NPI: 1679962179 · CHINO, CA 91710 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 466 | $12K |
| 2019 | 1,484 | $37K |
| 2020 | 2,103 | $44K |
| 2021 | 2,174 | $45K |
| 2022 | 1,721 | $35K |
| 2023 | 2,244 | $48K |
| 2024 | 1,787 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,105 | 2,089 | $76K | |
| 92004 | 1,518 | 1,515 | $59K | |
| V2020 | Vision svcs frames purchases | 2,079 | 2,075 | $40K |
| 92340 | 1,679 | 1,675 | $33K | |
| 92015 | 3,516 | 3,491 | $27K | |
| 92250 | 547 | 544 | $22K | |
| V2100 | Lens spher single plano 4.00 | 315 | 314 | $5K |
| V2784 | Lens polycarb or equal | 177 | 175 | $1K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 43 | 43 | $689.22 |