NPI: 1710040704 · SPRINGFIELD, OH 45503 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 452 | $18K |
| 2019 | 573 | $21K |
| 2020 | 934 | $20K |
| 2021 | 1,080 | $26K |
| 2022 | 203 | $6K |
| 2023 | 73 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 632 | 627 | $27K | |
| 99214 | 367 | 360 | $20K | |
| 92340 | 616 | 606 | $13K | |
| V2100 | Lens spher single plano 4.00 | 330 | 328 | $8K |
| V2020 | Vision svcs frames purchases | 444 | 441 | $8K |
| 99204 | 94 | 93 | $8K | |
| 92004 | 151 | 151 | $7K | |
| V2784 | Lens polycarb or equal | 167 | 164 | $2K |
| 92341 | 12 | 12 | $322.64 | |
| 92015 | 470 | 467 | $83.32 | |
| 3072F | 32 | 32 | $0.00 |