NPI: 1942685839 · BELLEVILLE, MI 48111 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,803 | $84K |
| 2019 | 2,589 | $67K |
| 2020 | 134 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,359 | 1,302 | $90K | |
| 92340 | 1,045 | 1,007 | $17K | |
| 92015 | 1,544 | 1,489 | $15K | |
| V2020 | Vision svcs frames purchases | 523 | 508 | $11K |
| S0620 | Routine ophthalmological exa | 202 | 202 | $9K |
| 92341 | 431 | 424 | $9K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 108 | 107 | $2K |
| V2100 | Lens spher single plano 4.00 | 235 | 229 | $1K |
| 92250 | 16 | 16 | $430.64 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 27 | 27 | $365.77 |
| V2201 | Lens sphere bifocal 4.12-7.0 | 36 | 29 | $304.24 |