NPI: 1699710988 · PINOLE, CA 94564 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,728 | $87K |
| 2019 | 3,711 | $88K |
| 2020 | 3,768 | $87K |
| 2021 | 2,687 | $59K |
| 2022 | 479 | $9K |
| 2023 | 36 | $683.91 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,080 | 2,075 | $96K | |
| 92340 | 3,250 | 3,224 | $67K | |
| V2020 | Vision svcs frames purchases | 3,327 | 3,298 | $67K |
| 92014 | 917 | 914 | $34K | |
| 92015 | 4,017 | 3,994 | $31K | |
| 92082 | 600 | 599 | $20K | |
| 99205 | Prolong outpt/office vis | 133 | 132 | $11K |
| 92341 | 61 | 61 | $2K | |
| 99204 | 12 | 12 | $763.55 | |
| 99243 | 12 | 12 | $714.00 |