NPI: 1942792809 · WESTMINSTER, CO 80023 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 430 | $24K |
| 2022 | 1,037 | $57K |
| 2023 | 3,151 | $182K |
| 2024 | 2,464 | $140K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2410 | Lens variab asphericity sing | 1,351 | 1,077 | $149K |
| V2025 | Eyeglasses delux frames | 1,146 | 905 | $101K |
| V2784 | Lens polycarb or equal | 1,349 | 1,077 | $42K |
| V2750 | Anti-reflective coating | 1,350 | 1,076 | $38K |
| V2100 | Lens spher single plano 4.00 | 384 | 307 | $29K |
| 92340 | 1,183 | 942 | $25K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 271 | 227 | $18K |
| V2108 | Spherocylinder 4.25d/2.12-4d | 12 | 12 | $1K |
| 01715 | 36 | 32 | $0.00 |