NPI: 1689029795 · TWINSBURG, OH 44087 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 54 | $1K |
| 2020 | 1,854 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 245 | 244 | $11K | |
| 92004 | 238 | 238 | $11K | |
| V2100 | Lens spher single plano 4.00 | 285 | 282 | $7K |
| V2020 | Vision svcs frames purchases | 468 | 410 | $7K |
| 92015 | 499 | 498 | $2K | |
| V2200 | Lens spher bifoc plano 4.00d | 38 | 38 | $1K |
| V2784 | Lens polycarb or equal | 89 | 75 | $772.50 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 46 | 44 | $699.76 |