NPI: 1760614598 · MALDEN, MO 63863 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,987 | $39K |
| 2019 | 2,152 | $53K |
| 2020 | 620 | $16K |
| 2021 | 436 | $12K |
| 2022 | 394 | $14K |
| 2023 | 784 | $41K |
| 2024 | 347 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,377 | 1,323 | $96K | |
| 92014 | 964 | 925 | $48K | |
| 92015 | 2,698 | 2,595 | $18K | |
| V2020 | Vision svcs frames purchases | 650 | 615 | $13K |
| V2784 | Lens polycarb or equal | 550 | 482 | $7K |
| V2100 | Lens spher single plano 4.00 | 387 | 360 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 69 | 52 | $608.00 |
| 3072F | 25 | 25 | $250.00 |