NPI: 1720068778 · BRYAN, OH 43506 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,632 | $64K |
| 2019 | 2,317 | $55K |
| 2020 | 1,746 | $40K |
| 2021 | 2,430 | $43K |
| 2022 | 2,277 | $42K |
| 2023 | 3,657 | $93K |
| 2024 | 3,126 | $77K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,207 | 2,064 | $112K | |
| V2020 | Vision svcs frames purchases | 4,002 | 3,560 | $92K |
| 92015 | 3,346 | 3,101 | $65K | |
| 92004 | 1,226 | 1,173 | $59K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,131 | 1,710 | $39K |
| V2784 | Lens polycarb or equal | 3,910 | 3,477 | $23K |
| V2100 | Lens spher single plano 4.00 | 620 | 580 | $12K |
| 92340 | 706 | 627 | $10K | |
| 92341 | 13 | 13 | $304.15 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $258.00 |
| V2200 | Lens spher bifoc plano 4.00d | 12 | 12 | $195.50 |