NPI: 1811979289 · DEFIANCE, OH 43512 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 344 | $2K |
| 2019 | 239 | $653.10 |
| 2020 | 340 | $2K |
| 2021 | 363 | $2K |
| 2022 | 1,338 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 317 | 312 | $5K | |
| V2020 | Vision svcs frames purchases | 779 | 769 | $3K |
| 92004 | 91 | 66 | $902.16 | |
| V2784 | Lens polycarb or equal | 668 | 656 | $588.00 |
| 92014 | 232 | 187 | $558.48 | |
| V2100 | Lens spher single plano 4.00 | 26 | 24 | $373.20 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 161 | 157 | $0.00 |
| 92015 | 350 | 280 | $0.00 |