NPI: 1952923609 · LE MARS, IA 51031 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 83 | $3K |
| 2022 | 371 | $12K |
| 2023 | 1,444 | $42K |
| 2024 | 1,587 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 485 | 471 | $42K | |
| 92014 | 473 | 447 | $29K | |
| 92015 | 1,004 | 989 | $15K | |
| V2020 | Vision svcs frames purchases | 503 | 457 | $12K |
| 92370 | 469 | 426 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 52 | 50 | $1K |
| V2100 | Lens spher single plano 4.00 | 28 | 27 | $720.50 |
| V2756 | Eye glass case | 471 | 428 | $424.38 |