NPI: 1811613557 · ATCHISON, KS 66002 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 924 | $28K |
| 2024 | 669 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 323 | 303 | $16K |
| 92004 | 128 | 122 | $11K | |
| V2760 | Scratch resistant coating | 273 | 261 | $6K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 109 | 105 | $4K |
| 92002 | 71 | 68 | $4K | |
| 92015 | 487 | 436 | $2K | |
| S0580 | Polycarb lens | 96 | 96 | $870.00 |
| 92370 | 91 | 87 | $556.92 | |
| 99204 | 15 | 13 | $107.12 |