NPI: 1730386723 · COON RAPIDS, MN 55433 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 340 | $1K |
| 2019 | 998 | $23K |
| 2020 | 1,157 | $25K |
| 2021 | 486 | $8K |
| 2022 | 963 | $24K |
| 2023 | 949 | $24K |
| 2024 | 493 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 1,710 | 1,587 | $39K | |
| V2020 | Vision svcs frames purchases | 1,292 | 1,139 | $30K |
| V2784 | Lens polycarb or equal | 795 | 771 | $14K |
| S0580 | Polycarb lens | 566 | 426 | $9K |
| 92341 | 294 | 292 | $9K | |
| 92370 | 317 | 311 | $7K | |
| V2100 | Lens spher single plano 4.00 | 281 | 206 | $6K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 99 | 98 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 32 | 30 | $1K |