NPI: 1760612956 · CIRCLEVILLE, OH 43113 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25 | $130.00 |
| 2020 | 499 | $11K |
| 2021 | 931 | $20K |
| 2022 | 984 | $21K |
| 2023 | 267 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 660 | 660 | $29K | |
| 92014 | 545 | 545 | $23K | |
| S0621 | Routine ophthalmological exa | 56 | 54 | $3K |
| S0620 | Routine ophthalmological exa | 36 | 36 | $2K |
| V2020 | Vision svcs frames purchases | 56 | 56 | $1K |
| 92015 | 1,272 | 1,272 | $900.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 25 | 25 | $589.00 |
| G8427 | Docrev cur meds by elig clin | 12 | 12 | $0.00 |
| V2784 | Lens polycarb or equal | 44 | 44 | $0.00 |