NPI: 1851731459 · WEST POINT, NE 68788 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 445 | $12K |
| 2019 | 672 | $15K |
| 2020 | 299 | $5K |
| 2021 | 771 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 312 | 291 | $16K | |
| 92015 | 609 | 515 | $8K | |
| 92014 | 148 | 140 | $8K | |
| V2020 | Vision svcs frames purchases | 399 | 370 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 236 | 211 | $6K |
| V2100 | Lens spher single plano 4.00 | 49 | 49 | $1K |
| 92004 | 13 | 12 | $913.44 | |
| 92012 | 12 | 12 | $420.51 | |
| V2756 | Eye glass case | 397 | 372 | $411.86 |
| V2784 | Lens polycarb or equal | 12 | 12 | $144.00 |