NPI: 1902335391 · CHICAGO HEIGHTS, IL 60411 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 544 | $15K |
| 2019 | 2,187 | $57K |
| 2022 | 31 | $798.12 |
| 2023 | 50 | $732.10 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 595 | 593 | $23K | |
| 92004 | 318 | 314 | $14K | |
| 92340 | 469 | 464 | $13K | |
| 92015 | 761 | 756 | $12K | |
| V2100 | Lens spher single plano 4.00 | 197 | 196 | $7K |
| V2020 | Vision svcs frames purchases | 207 | 206 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 29 | 29 | $2K |
| V2025 | Eyeglasses delux frames | 118 | 111 | $2K |
| V2784 | Lens polycarb or equal | 103 | 102 | $210.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 15 | 15 | $0.00 |