NPI: 1770547960 · BELLEFONTAINE, OH 43311 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,144 | $95K |
| 2019 | 1,796 | $39K |
| 2020 | 4,283 | $95K |
| 2021 | 4,627 | $110K |
| 2022 | 3,594 | $93K |
| 2023 | 1,278 | $22K |
| 2024 | 178 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,320 | 2,306 | $94K | |
| 92004 | 2,046 | 2,030 | $84K | |
| V2020 | Vision svcs frames purchases | 4,658 | 4,604 | $68K |
| V2100 | Lens spher single plano 4.00 | 3,292 | 3,264 | $57K |
| V2784 | Lens polycarb or equal | 1,684 | 1,672 | $37K |
| V2410 | Lens variab asphericity sing | 451 | 448 | $28K |
| V2200 | Lens spher bifoc plano 4.00d | 868 | 860 | $25K |
| 92015 | 2,276 | 2,260 | $21K | |
| 92340 | 661 | 651 | $14K | |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 275 | 272 | $9K |
| V2760 | Scratch resistant coating | 605 | 600 | $6K |
| V2755 | Uv lens/es | 609 | 602 | $5K |
| V2430 | Lens variable asphericity bi | 42 | 40 | $4K |
| 92342 | 113 | 106 | $3K |