NPI: 1952336927 · SAN BERNARDINO, CA 92408 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,905 | $296K |
| 2019 | 13,454 | $324K |
| 2020 | 10,840 | $252K |
| 2021 | 13,210 | $311K |
| 2022 | 12,730 | $301K |
| 2023 | 14,067 | $336K |
| 2024 | 14,153 | $346K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 14,119 | 13,999 | $519K | |
| V2020 | Vision svcs frames purchases | 20,685 | 20,511 | $428K |
| 92340 | 17,707 | 17,518 | $378K | |
| 92004 | 8,378 | 8,293 | $332K | |
| 92015 | 22,494 | 22,256 | $176K | |
| 92250 | 3,023 | 2,967 | $153K | |
| 92341 | 2,446 | 2,435 | $72K | |
| 92225 | 739 | 613 | $53K | |
| 92201 | 1,129 | 1,124 | $24K | |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 141 | 141 | $14K |
| V2750 | Anti-reflective coating | 261 | 261 | $8K |
| V2744 | Tint photochromatic lens/es | 112 | 112 | $4K |
| 99213 | 94 | 66 | $4K | |
| V2100 | Lens spher single plano 4.00 | 31 | 31 | $502.20 |