NPI: 1730702689 · NOVI, MI 48375 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 759 | $17K |
| 2021 | 1,090 | $19K |
| 2022 | 744 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 311 | 304 | $14K | |
| 92015 | 559 | 551 | $12K | |
| 92004 | 199 | 198 | $10K | |
| 92340 | 352 | 344 | $8K | |
| 99213 | 76 | 71 | $3K | |
| V2020 | Vision svcs frames purchases | 395 | 386 | $10.00 |
| V2784 | Lens polycarb or equal | 436 | 428 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 247 | 241 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 18 | 18 | $0.00 |