NPI: 1841796612 · SOUTH BEND, IN 46617 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 998 | $38K |
| 2019 | 1,908 | $77K |
| 2020 | 2,042 | $87K |
| 2021 | 3,311 | $132K |
| 2022 | 2,744 | $107K |
| 2023 | 1,981 | $80K |
| 2024 | 864 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,506 | 2,256 | $199K | |
| V2020 | Vision svcs frames purchases | 3,771 | 3,385 | $122K |
| 92004 | 1,024 | 921 | $101K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,542 | 1,417 | $66K |
| 92015 | 3,952 | 3,523 | $49K | |
| V2100 | Lens spher single plano 4.00 | 910 | 844 | $31K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 104 | 78 | $5K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 21 | 15 | $633.54 |
| V2784 | Lens polycarb or equal | 18 | 14 | $103.00 |