NPI: 1851951362 · LANCASTER, KY 40444 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,217 | $63K |
| 2021 | 3,853 | $116K |
| 2022 | 3,139 | $91K |
| 2023 | 403 | $10K |
| 2024 | 309 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,526 | 1,490 | $137K | |
| V2020 | Vision svcs frames purchases | 1,514 | 1,484 | $45K |
| 92014 | 523 | 518 | $36K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 985 | 965 | $23K |
| 92340 | 1,157 | 1,133 | $23K | |
| V2784 | Lens polycarb or equal | 724 | 707 | $7K |
| 92015 | 1,984 | 1,933 | $7K | |
| V2760 | Scratch resistant coating | 761 | 736 | $2K |
| V2100 | Lens spher single plano 4.00 | 127 | 125 | $1K |
| 92341 | 12 | 12 | $165.00 | |
| 3072F | 573 | 560 | $0.00 | |
| 2033F | 35 | 35 | $0.00 |