NPI: 1750607909 · RICHMOND, IN 47374 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $266.22 |
| 2020 | 38 | $939.15 |
| 2021 | 1,693 | $56K |
| 2022 | 2,145 | $83K |
| 2023 | 3,368 | $101K |
| 2024 | 3,212 | $174K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,696 | 3,459 | $189K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,087 | 1,556 | $92K |
| V2755 | Uv lens/es | 3,282 | 2,413 | $60K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 704 | 572 | $44K |
| V2100 | Lens spher single plano 4.00 | 636 | 488 | $27K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 33 | 30 | $2K |
| V2107 | Spherocylinder 4.25d/12-2d | 15 | 14 | $990.00 |
| V2200 | Lens spher bifoc plano 4.00d | 15 | 12 | $688.02 |