NPI: 1821657198 · MANSFIELD, OH 44906 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 856 | $17K |
| 2021 | 1,910 | $38K |
| 2022 | 2,110 | $42K |
| 2023 | 1,932 | $27K |
| 2024 | 1,771 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,196 | 1,186 | $46K | |
| 92014 | 1,010 | 998 | $38K | |
| V2020 | Vision svcs frames purchases | 2,020 | 1,978 | $32K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 981 | 959 | $19K |
| V2784 | Lens polycarb or equal | 991 | 956 | $10K |
| 92015 | 2,328 | 2,306 | $1K | |
| 92310 | 27 | 27 | $1K | |
| V2100 | Lens spher single plano 4.00 | 13 | 13 | $323.44 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 13 | 13 | $0.00 |