NPI: 1831327857 · COLUMBIA, MO 65201 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,748 | $41K |
| 2019 | 2,756 | $47K |
| 2020 | 674 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,589 | 1,434 | $29K |
| 92014 | 509 | 476 | $24K | |
| 92004 | 386 | 358 | $17K | |
| V2784 | Lens polycarb or equal | 1,265 | 1,185 | $16K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,108 | 986 | $7K |
| 92015 | 1,033 | 966 | $5K | |
| V2100 | Lens spher single plano 4.00 | 194 | 169 | $877.76 |
| V2744 | Tint photochromatic lens/es | 14 | 12 | $80.30 |
| S0580 | Polycarb lens | 80 | 31 | $0.00 |