NPI: 1780719583 · ADRIAN, MI 49221 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,725 | $166K |
| 2019 | 670 | $23K |
| 2020 | 123 | $4K |
| 2021 | 45 | $1K |
| 2022 | 113 | $4K |
| 2023 | 128 | $4K |
| 2024 | 132 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 1,976 | 1,963 | $81K |
| S0621 | Routine ophthalmological exa | 1,723 | 1,723 | $56K |
| S0620 | Routine ophthalmological exa | 1,224 | 1,220 | $33K |
| V2200 | Lens spher bifoc plano 4.00d | 453 | 451 | $24K |
| 92340 | 429 | 416 | $7K | |
| V2781 | Progressive lens per lens | 42 | 39 | $2K |
| 92341 | 64 | 64 | $1K | |
| V2020 | Vision svcs frames purchases | 25 | 25 | $287.10 |