NPI: 1700837069 · GREENFIELD, IN 46140 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $73.35 |
| 2019 | 1,426 | $73K |
| 2020 | 1,773 | $88K |
| 2021 | 1,799 | $87K |
| 2022 | 1,424 | $82K |
| 2023 | 1,785 | $97K |
| 2024 | 958 | $60K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,117 | 1,956 | $240K | |
| 92014 | 1,105 | 1,036 | $101K | |
| 92015 | 3,470 | 3,248 | $53K | |
| 92250 | 786 | 724 | $36K | |
| V2020 | Vision svcs frames purchases | 795 | 724 | $30K |
| V2755 | Uv lens/es | 638 | 599 | $13K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 213 | 197 | $10K |
| V2100 | Lens spher single plano 4.00 | 38 | 37 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 15 | 14 | $1K |