NPI: 1700865409 · MARSHALLTOWN, IA 50158 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,333 | $21K |
| 2019 | 2,236 | $27K |
| 2020 | 1,896 | $25K |
| 2021 | 2,581 | $39K |
| 2022 | 3,987 | $54K |
| 2023 | 4,913 | $82K |
| 2024 | 1,994 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 6,830 | 5,982 | $139K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,219 | 3,629 | $80K |
| V2784 | Lens polycarb or equal | 2,897 | 2,525 | $33K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 573 | 472 | $10K |
| V2100 | Lens spher single plano 4.00 | 361 | 323 | $7K |
| V2107 | Spherocylinder 4.25d/12-2d | 319 | 284 | $6K |
| V2756 | Eye glass case | 3,741 | 3,333 | $3K |