NPI: 1790048619 · DEXTER, MO 63841 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,014 | $55K |
| 2019 | 2,492 | $70K |
| 2020 | 5,047 | $143K |
| 2021 | 5,166 | $146K |
| 2022 | 6,211 | $181K |
| 2023 | 5,990 | $174K |
| 2024 | 5,835 | $179K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 9,036 | 8,476 | $364K | |
| 92340 | 7,006 | 6,584 | $206K | |
| 92015 | 10,998 | 10,324 | $193K | |
| 92004 | 2,385 | 2,185 | $106K | |
| V2020 | Vision svcs frames purchases | 951 | 897 | $29K |
| 92012 | 1,124 | 982 | $25K | |
| 92341 | 482 | 456 | $14K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 201 | 185 | $2K |
| 99213 | 58 | 55 | $2K | |
| 92250 | 69 | 64 | $2K | |
| V2100 | Lens spher single plano 4.00 | 70 | 68 | $1K |
| 92225 | 29 | 15 | $805.78 | |
| 92134 | 28 | 27 | $579.25 | |
| V2784 | Lens polycarb or equal | 90 | 78 | $534.32 |
| 92083 | 13 | 13 | $336.60 | |
| 92133 | 12 | 12 | $251.30 | |
| V2025 | Eyeglasses delux frames | 12 | 12 | $129.60 |
| 3072F | 191 | 187 | $0.00 |