NPI: 1801825476 · BEMIDJI, MN 56601 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,090 | $10K |
| 2019 | 1,644 | $37K |
| 2020 | 1,020 | $29K |
| 2021 | 1,198 | $32K |
| 2022 | 687 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 1,498 | 972 | $62K | |
| V2020 | Vision svcs frames purchases | 1,539 | 1,506 | $26K |
| 92340 | 1,117 | 1,102 | $21K | |
| 92015 | 1,566 | 1,544 | $12K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 431 | 236 | $4K |
| 92004 | 39 | 38 | $2K | |
| V2784 | Lens polycarb or equal | 47 | 24 | $234.60 |
| V2100 | Lens spher single plano 4.00 | 402 | 202 | $0.00 |