NPI: 1821581554 · AVON, OH 44011 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,386 | $25K |
| 2021 | 2,234 | $44K |
| 2022 | 2,409 | $48K |
| 2023 | 2,620 | $31K |
| 2024 | 2,670 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,434 | 1,427 | $54K | |
| V2020 | Vision svcs frames purchases | 2,635 | 2,489 | $40K |
| 92014 | 1,078 | 1,066 | $36K | |
| V2100 | Lens spher single plano 4.00 | 1,485 | 1,432 | $31K |
| V2784 | Lens polycarb or equal | 1,427 | 1,321 | $14K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 424 | 407 | $6K |
| 92310 | 55 | 54 | $3K | |
| 92015 | 2,743 | 2,725 | $1K | |
| V2200 | Lens spher bifoc plano 4.00d | 12 | 12 | $414.70 |
| V2101 | Single visn sphere 4.12-7.00 | 14 | 14 | $280.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $0.00 |