NPI: 1902256332 · MIDDLETOWN, OH 45005 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 731 | $24K |
| 2021 | 7,024 | $134K |
| 2022 | 5,918 | $123K |
| 2023 | 4,326 | $62K |
| 2024 | 1,641 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,684 | 2,627 | $103K | |
| V2100 | Lens spher single plano 4.00 | 3,508 | 3,423 | $76K |
| 92014 | 2,161 | 2,097 | $75K | |
| V2020 | Vision svcs frames purchases | 4,036 | 3,934 | $55K |
| V2784 | Lens polycarb or equal | 2,779 | 2,705 | $25K |
| V2200 | Lens spher bifoc plano 4.00d | 287 | 285 | $10K |
| 92310 | 66 | 66 | $5K | |
| V2299 | Lens bifocal speciality | 123 | 122 | $4K |
| 92015 | 3,121 | 3,057 | $0.00 | |
| V2750 | Anti-reflective coating | 653 | 645 | $0.00 |
| V2744 | Tint photochromatic lens/es | 99 | 99 | $0.00 |
| V2781 | Progressive lens per lens | 123 | 122 | $0.00 |