NPI: 1932282282 · BELLEVUE, NE 68123 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,259 | $25K |
| 2019 | 1,415 | $28K |
| 2020 | 1,302 | $27K |
| 2021 | 1,384 | $28K |
| 2022 | 1,061 | $21K |
| 2023 | 863 | $16K |
| 2024 | 1,188 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,749 | 4,483 | $77K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,400 | 2,305 | $49K |
| V2100 | Lens spher single plano 4.00 | 1,032 | 938 | $17K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 128 | 124 | $5K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 115 | 114 | $2K |
| V2107 | Spherocylinder 4.25d/12-2d | 33 | 33 | $690.00 |
| V2200 | Lens spher bifoc plano 4.00d | 15 | 15 | $639.76 |