NPI: 1851492763 · NEWARK, OH 43055 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,932 | $57K |
| 2019 | 1,747 | $52K |
| 2020 | 563 | $15K |
| 2021 | 179 | $3K |
| 2022 | 172 | $3K |
| 2023 | 542 | $13K |
| 2024 | 12 | $240.84 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,396 | 1,376 | $56K | |
| 92340 | 1,625 | 1,604 | $33K | |
| 92004 | 574 | 568 | $25K | |
| V2020 | Vision svcs frames purchases | 758 | 750 | $9K |
| 92341 | 290 | 289 | $8K | |
| 99214 | 119 | 117 | $6K | |
| 92015 | 199 | 193 | $3K | |
| V2100 | Lens spher single plano 4.00 | 85 | 85 | $2K |
| V2784 | Lens polycarb or equal | 73 | 73 | $730.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 15 | 15 | $203.00 |
| 2023F | 13 | 13 | $0.00 |