NPI: 1922062769 · BEAVERCREEK, OH 45434 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 119 | $304.78 |
| 2019 | 129 | $587.79 |
| 2020 | 1,673 | $40K |
| 2021 | 3,426 | $83K |
| 2022 | 1,728 | $39K |
| 2023 | 1,162 | $10K |
| 2024 | 1,584 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,616 | 1,611 | $82K | |
| 92004 | 718 | 712 | $33K | |
| V2020 | Vision svcs frames purchases | 2,452 | 2,397 | $32K |
| V2100 | Lens spher single plano 4.00 | 1,211 | 1,185 | $28K |
| V2784 | Lens polycarb or equal | 1,360 | 1,316 | $13K |
| V2200 | Lens spher bifoc plano 4.00d | 164 | 162 | $6K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 480 | 472 | $4K |
| 92015 | 1,779 | 1,775 | $2K | |
| 92340 | 41 | 41 | $892.57 |