NPI: 1699173658 · DUBUQUE, IA 52003 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,942 | $41K |
| 2019 | 2,055 | $45K |
| 2020 | 1,471 | $31K |
| 2021 | 1,842 | $36K |
| 2022 | 1,448 | $29K |
| 2023 | 573 | $7K |
| 2024 | 780 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 5,411 | 5,138 | $119K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,086 | 2,967 | $59K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 468 | 449 | $13K |
| V2100 | Lens spher single plano 4.00 | 536 | 514 | $8K |
| V2784 | Lens polycarb or equal | 313 | 300 | $2K |
| 92002 | 50 | 50 | $2K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 83 | 77 | $1K |
| V2107 | Spherocylinder 4.25d/12-2d | 25 | 25 | $479.35 |
| V2760 | Scratch resistant coating | 56 | 54 | $56.09 |
| V2799 | Misc vision item or service | 83 | 81 | $0.00 |