NPI: 1760636005 · GRESHAM, OR 97030 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,648 | $48K |
| 2019 | 1,633 | $46K |
| 2020 | 1,292 | $37K |
| 2021 | 675 | $21K |
| 2022 | 1,305 | $38K |
| 2023 | 1,224 | $37K |
| 2024 | 119 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,300 | 1,243 | $87K | |
| 92340 | 1,877 | 1,753 | $46K | |
| 92004 | 419 | 388 | $27K | |
| V2020 | Vision svcs frames purchases | 2,256 | 2,109 | $27K |
| V2784 | Lens polycarb or equal | 877 | 812 | $25K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 987 | 920 | $16K |
| V2100 | Lens spher single plano 4.00 | 127 | 126 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 53 | 51 | $711.75 |