NPI: 1699746719 · CRESTON, IA 50801 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,130 | $30K |
| 2019 | 1,419 | $28K |
| 2020 | 399 | $13K |
| 2021 | 168 | $8K |
| 2022 | 88 | $4K |
| 2023 | 25 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 882 | 865 | $51K | |
| V2020 | Vision svcs frames purchases | 723 | 668 | $17K |
| 92004 | 135 | 130 | $11K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 151 | 134 | $3K |
| V2100 | Lens spher single plano 4.00 | 62 | 52 | $1K |
| V2756 | Eye glass case | 482 | 460 | $487.72 |
| 92015 | 350 | 343 | $15.05 | |
| G9903 | Pt scrn tbco id as non user | 45 | 44 | $0.00 |
| 1036F | 303 | 296 | $0.00 | |
| G8783 | Bp scrn perf rec interval | 44 | 43 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 52 | 51 | $0.00 |