NPI: 1730308602 · PAHRUMP, NV 89060 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,721 | $167K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 520 | 493 | $38K |
| 92014 | 350 | 329 | $37K | |
| 92004 | 239 | 226 | $30K | |
| V2100 | Lens spher single plano 4.00 | 348 | 333 | $24K |
| 92340 | 353 | 337 | $11K | |
| 92015 | 630 | 550 | $10K | |
| V2730 | Special base curve | 156 | 148 | $8K |
| V2300 | Lens sphere trifocal 4.00d | 40 | 38 | $5K |
| V2200 | Lens spher bifoc plano 4.00d | 29 | 29 | $3K |
| 92342 | 40 | 38 | $2K | |
| 92341 | 16 | 16 | $608.16 |