NPI: 1750720322 · PERRY, IA 50220 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,482 | $43K |
| 2019 | 2,644 | $69K |
| 2020 | 1,379 | $37K |
| 2021 | 1,282 | $36K |
| 2022 | 276 | $8K |
| 2023 | 508 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,501 | 1,429 | $102K | |
| V2020 | Vision svcs frames purchases | 1,648 | 1,577 | $39K |
| 92004 | 438 | 422 | $34K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 817 | 772 | $20K |
| V2100 | Lens spher single plano 4.00 | 324 | 321 | $6K |
| V2784 | Lens polycarb or equal | 369 | 362 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 46 | 43 | $2K |
| 92015 | 1,667 | 1,587 | $2K | |
| V2756 | Eye glass case | 746 | 721 | $760.32 |
| V2200 | Lens spher bifoc plano 4.00d | 15 | 15 | $369.40 |