NPI: 1972528560 · OMAHA, NE 68102 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,203 | $60K |
| 2019 | 1,992 | $53K |
| 2020 | 266 | $20K |
| 2021 | 193 | $14K |
| 2022 | 619 | $13K |
| 2023 | 1,581 | $56K |
| 2024 | 1,922 | $75K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,856 | 1,770 | $132K | |
| 92014 | 733 | 728 | $48K | |
| V2020 | Vision svcs frames purchases | 1,275 | 1,253 | $34K |
| 92015 | 1,726 | 1,627 | $27K | |
| 92370 | 885 | 871 | $12K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 499 | 493 | $12K |
| 92002 | 183 | 179 | $9K | |
| 92340 | 152 | 151 | $7K | |
| V2100 | Lens spher single plano 4.00 | 202 | 194 | $4K |
| V2784 | Lens polycarb or equal | 218 | 218 | $4K |
| V2756 | Eye glass case | 892 | 874 | $932.04 |
| 3072F | 83 | 83 | $80.00 | |
| 92081 | 72 | 61 | $48.89 |