NPI: 1710924261 · INTERLOCHEN, MI 49643 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,131 | $33K |
| 2019 | 1,361 | $39K |
| 2020 | 433 | $12K |
| 2021 | 208 | $6K |
| 2022 | 209 | $6K |
| 2023 | 131 | $4K |
| 2024 | 230 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,574 | 1,570 | $50K |
| S0620 | Routine ophthalmological exa | 370 | 370 | $18K |
| 92340 | 855 | 855 | $17K | |
| S0621 | Routine ophthalmological exa | 247 | 247 | $12K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 413 | 412 | $6K |
| 92341 | 166 | 166 | $4K | |
| 92370 | 25 | 25 | $435.55 | |
| 92342 | 13 | 13 | $316.81 | |
| V2100 | Lens spher single plano 4.00 | 28 | 28 | $290.88 |
| V2303 | Lens sphcy trifocal 4.0/.12- | 12 | 12 | $192.36 |