NPI: 1780274506 · MISSOULA, MT 59801 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 316 | $10K |
| 2022 | 1,282 | $52K |
| 2023 | 908 | $49K |
| 2024 | 774 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 567 | 503 | $60K | |
| 92014 | 564 | 546 | $59K | |
| 92015 | 1,338 | 1,225 | $21K | |
| 92340 | 538 | 468 | $14K | |
| V2760 | Scratch resistant coating | 73 | 67 | $0.00 |
| V2020 | Vision svcs frames purchases | 60 | 47 | $0.00 |
| V2784 | Lens polycarb or equal | 12 | 12 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 128 | 85 | $0.00 |