NPI: 1932691136 · HILLIARD, OH 43026 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,104 | $17K |
| 2021 | 1,545 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 373 | 373 | $16K | |
| V2020 | Vision svcs frames purchases | 776 | 554 | $12K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 338 | 237 | $7K |
| V2784 | Lens polycarb or equal | 491 | 279 | $6K |
| 92014 | 78 | 78 | $3K | |
| V2100 | Lens spher single plano 4.00 | 21 | 12 | $420.00 |
| 92015 | 553 | 550 | $0.00 | |
| 92370 | 19 | 19 | $0.00 |