NPI: 1801163191 · EDINA, MN 55435 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,171 | $13K |
| 2019 | 1,684 | $38K |
| 2020 | 474 | $8K |
| 2021 | 1,178 | $24K |
| 2022 | 1,525 | $28K |
| 2023 | 1,432 | $32K |
| 2024 | 1,398 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,806 | 2,635 | $71K |
| V2100 | Lens spher single plano 4.00 | 4,345 | 2,150 | $50K |
| 92004 | 597 | 595 | $38K | |
| 92014 | 234 | 233 | $12K | |
| V2784 | Lens polycarb or equal | 461 | 287 | $9K |
| 92340 | 221 | 219 | $5K | |
| V2200 | Lens spher bifoc plano 4.00d | 109 | 62 | $2K |
| 92250 | 89 | 89 | $2K |