NPI: 1891846994 · MIAMISBURG, OH 45342 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,259 | $23K |
| 2021 | 518 | $9K |
| 2022 | 850 | $22K |
| 2023 | 2,328 | $39K |
| 2024 | 1,709 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 927 | 898 | $30K | |
| 92014 | 949 | 905 | $30K | |
| V2100 | Lens spher single plano 4.00 | 1,353 | 1,314 | $25K |
| V2020 | Vision svcs frames purchases | 1,621 | 1,579 | $20K |
| V2784 | Lens polycarb or equal | 1,000 | 967 | $8K |
| V2200 | Lens spher bifoc plano 4.00d | 48 | 48 | $2K |
| V2299 | Lens bifocal speciality | 12 | 12 | $452.40 |
| V2781 | Progressive lens per lens | 12 | 12 | $0.00 |
| 92015 | 607 | 592 | $0.00 | |
| V2750 | Anti-reflective coating | 135 | 133 | $0.00 |