NPI: 1730177122 · BURTON, MI 48509 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,141 | $117K |
| 2019 | 5,848 | $110K |
| 2020 | 2,700 | $52K |
| 2022 | 467 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,949 | 2,907 | $91K |
| S0620 | Routine ophthalmological exa | 1,324 | 1,298 | $59K |
| 92340 | 2,391 | 2,346 | $47K | |
| S0621 | Routine ophthalmological exa | 914 | 903 | $44K |
| V2100 | Lens spher single plano 4.00 | 1,978 | 1,939 | $20K |
| 92082 | 799 | 778 | $10K | |
| 92341 | 309 | 304 | $7K | |
| V2715 | Prism lens/es | 1,348 | 1,306 | $7K |
| V2200 | Lens spher bifoc plano 4.00d | 367 | 358 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 33 | 30 | $319.35 |
| V2756 | Eye glass case | 2,744 | 2,686 | $221.67 |