NPI: 1801940580 · DEKALB, IL 60115 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,291 | $36K |
| 2019 | 1,894 | $49K |
| 2020 | 2,787 | $72K |
| 2021 | 2,754 | $74K |
| 2022 | 1,952 | $46K |
| 2023 | 1,413 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,582 | 2,163 | $109K | |
| 92340 | 2,577 | 2,214 | $75K | |
| 92015 | 3,879 | 3,341 | $68K | |
| 92004 | 937 | 812 | $43K | |
| V2020 | Vision svcs frames purchases | 646 | 587 | $7K |
| V2784 | Lens polycarb or equal | 709 | 590 | $5K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 676 | 567 | $4K |
| V2100 | Lens spher single plano 4.00 | 72 | 50 | $182.98 |
| 99213 | 13 | 13 | $56.70 |