NPI: 1922488022 · CARROLL, IA 51401 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 898 | $27K |
| 2019 | 902 | $20K |
| 2020 | 343 | $12K |
| 2021 | 245 | $14K |
| 2022 | 463 | $18K |
| 2023 | 269 | $11K |
| 2024 | 86 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 657 | 620 | $41K | |
| S0621 | Routine ophthalmological exa | 294 | 291 | $25K |
| V2020 | Vision svcs frames purchases | 834 | 760 | $21K |
| 92004 | 122 | 119 | $11K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 129 | 124 | $3K |
| V2100 | Lens spher single plano 4.00 | 81 | 80 | $2K |
| S0620 | Routine ophthalmological exa | 33 | 33 | $2K |
| 92012 | 12 | 12 | $840.00 | |
| V2756 | Eye glass case | 391 | 360 | $367.20 |
| 92015 | 118 | 116 | $90.30 | |
| G8427 | Docrev cur meds by elig clin | 535 | 507 | $0.00 |