NPI: 1710079793 · EASTPOINTE, MI 48021 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,025 | $30K |
| 2019 | 977 | $33K |
| 2020 | 776 | $26K |
| 2021 | 649 | $23K |
| 2022 | 174 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 1,247 | 1,242 | $60K |
| 92340 | 1,255 | 1,241 | $26K | |
| V2020 | Vision svcs frames purchases | 503 | 501 | $16K |
| 99213 | 273 | 262 | $12K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 101 | 100 | $2K |
| 92342 | 38 | 38 | $986.26 | |
| 92015 | 147 | 147 | $388.15 | |
| V2715 | Prism lens/es | 12 | 12 | $58.65 |
| V2756 | Eye glass case | 25 | 25 | $6.75 |