NPI: 1982756789 · DULUTH, MN 55811 · 156F00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20,259 | $150K |
| 2019 | 17,890 | $631K |
| 2020 | 5,007 | $171K |
| 2021 | 6,408 | $233K |
| 2022 | 4,121 | $149K |
| 2023 | 4,462 | $165K |
| 2024 | 2,989 | $119K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 5,810 | 5,642 | $361K | |
| V2784 | Lens polycarb or equal | 11,228 | 10,508 | $339K |
| V2020 | Vision svcs frames purchases | 11,709 | 10,879 | $279K |
| 92340 | 10,180 | 9,638 | $203K | |
| 92004 | 1,992 | 1,918 | $118K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 5,389 | 5,089 | $116K |
| 92015 | 8,955 | 8,672 | $85K | |
| 92341 | 2,226 | 2,081 | $46K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,408 | 1,287 | $32K |
| V2100 | Lens spher single plano 4.00 | 1,742 | 1,615 | $31K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 252 | 239 | $4K |
| V2107 | Spherocylinder 4.25d/12-2d | 189 | 171 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 41 | 39 | $1K |
| 92250 | 15 | 14 | $392.60 |