NPI: 1871602771 · FORT DODGE, IA 50501 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 138 | $15.05 |
| 2019 | 636 | $11K |
| 2020 | 728 | $15K |
| 2021 | 1,062 | $21K |
| 2022 | 1,295 | $23K |
| 2023 | 1,253 | $23K |
| 2024 | 1,293 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 741 | 703 | $32K | |
| 92015 | 2,419 | 2,201 | $30K | |
| V2020 | Vision svcs frames purchases | 1,287 | 1,172 | $30K |
| 92014 | 302 | 250 | $11K | |
| 92002 | 119 | 119 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 291 | 262 | $6K |
| V2756 | Eye glass case | 815 | 750 | $792.51 |
| 1036F | 31 | 25 | $0.00 | |
| G8422 | Pt inelig bmi calculation | 63 | 55 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 205 | 165 | $0.00 |
| G8421 | Bmi not calculated | 117 | 92 | $0.00 |
| G8783 | Bp scrn perf rec interval | 15 | 12 | $0.00 |