NPI: 1790092914 · ANKENY, IA 50023 · 152WV0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,797 | $54K |
| 2019 | 1,840 | $49K |
| 2020 | 542 | $16K |
| 2021 | 437 | $19K |
| 2022 | 414 | $20K |
| 2023 | 310 | $15K |
| 2024 | 177 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,101 | 1,075 | $68K | |
| 92065 | 1,776 | 506 | $45K | |
| V2020 | Vision svcs frames purchases | 1,176 | 1,055 | $28K |
| 92004 | 324 | 312 | $28K | |
| 99212 | 281 | 253 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 197 | 183 | $4K |
| V2100 | Lens spher single plano 4.00 | 76 | 67 | $1K |
| V2784 | Lens polycarb or equal | 67 | 52 | $630.56 |
| V2756 | Eye glass case | 519 | 460 | $467.64 |