NPI: 1811032881 · ALLEN PARK, MI 48101 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 960 | $28K |
| 2019 | 2,229 | $64K |
| 2020 | 1,370 | $38K |
| 2021 | 860 | $24K |
| 2022 | 2,020 | $51K |
| 2023 | 1,838 | $32K |
| 2024 | 2,285 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 3,055 | 3,053 | $67K |
| S0621 | Routine ophthalmological exa | 1,611 | 1,610 | $60K |
| S0620 | Routine ophthalmological exa | 1,494 | 1,493 | $53K |
| 92340 | 3,100 | 3,087 | $46K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,769 | 1,767 | $13K |
| 92341 | 243 | 243 | $5K | |
| V2100 | Lens spher single plano 4.00 | 212 | 211 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 39 | 39 | $607.58 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 39 | 39 | $155.82 |