NPI: 1912376377 · MENTOR, OH 44060 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,647 | $36K |
| 2021 | 4,294 | $108K |
| 2022 | 4,583 | $121K |
| 2023 | 5,884 | $92K |
| 2024 | 4,624 | $84K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,968 | 2,901 | $105K | |
| V2100 | Lens spher single plano 4.00 | 3,728 | 3,641 | $94K |
| V2784 | Lens polycarb or equal | 4,061 | 3,945 | $88K |
| V2020 | Vision svcs frames purchases | 4,290 | 4,184 | $81K |
| 92004 | 1,590 | 1,561 | $61K | |
| V2200 | Lens spher bifoc plano 4.00d | 363 | 351 | $11K |
| S0580 | Polycarb lens | 84 | 84 | $2K |
| 92015 | 3,702 | 3,615 | $187.47 | |
| V2750 | Anti-reflective coating | 246 | 227 | $0.00 |