NPI: 1902808231 · GREELEY, CO 80634 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 260 | $4K |
| 2019 | 461 | $8K |
| 2020 | 256 | $5K |
| 2021 | 794 | $15K |
| 2022 | 871 | $19K |
| 2023 | 1,099 | $37K |
| 2024 | 1,331 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 595 | 492 | $26K |
| V2784 | Lens polycarb or equal | 489 | 377 | $23K |
| 92012 | 296 | 285 | $20K | |
| V2410 | Lens variab asphericity sing | 343 | 253 | $17K |
| 92004 | 120 | 117 | $14K | |
| 92340 | 665 | 526 | $13K | |
| V2750 | Anti-reflective coating | 299 | 215 | $7K |
| 92002 | 77 | 75 | $5K | |
| V2100 | Lens spher single plano 4.00 | 54 | 42 | $5K |
| 92134 | 134 | 125 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 57 | 39 | $2K |
| 92014 | 13 | 12 | $1K | |
| V2755 | Uv lens/es | 68 | 55 | $1K |
| 92015 | 1,862 | 1,770 | $481.13 |