NPI: 1780803403 · KALAMAZOO, MI 49006 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 602 | $14K |
| 2023 | 261 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 332 | 331 | $10K |
| 92340 | 209 | 208 | $4K | |
| S0621 | Routine ophthalmological exa | 54 | 54 | $2K |
| V2100 | Lens spher single plano 4.00 | 197 | 197 | $2K |
| S0620 | Routine ophthalmological exa | 41 | 41 | $2K |
| 92341 | 15 | 15 | $321.72 | |
| V2200 | Lens spher bifoc plano 4.00d | 15 | 15 | $151.58 |