NPI: 1972651636 · SKOKIE, IL 60076 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,249 | $78K |
| 2019 | 2,390 | $55K |
| 2024 | 26 | $783.05 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,171 | 1,054 | $51K | |
| V2100 | Lens spher single plano 4.00 | 498 | 428 | $23K |
| 92340 | 818 | 751 | $21K | |
| 92015 | 900 | 853 | $15K | |
| 92014 | 192 | 169 | $8K | |
| V2020 | Vision svcs frames purchases | 713 | 622 | $7K |
| V2200 | Lens spher bifoc plano 4.00d | 33 | 24 | $5K |
| 92341 | 108 | 96 | $3K | |
| 92012 | 12 | 12 | $540.00 | |
| V2784 | Lens polycarb or equal | 126 | 101 | $90.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 94 | 76 | $0.00 |