NPI: 1992868194 · CORTEZ, CO 81321 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,070 | $24K |
| 2019 | 788 | $23K |
| 2020 | 229 | $5K |
| 2021 | 364 | $7K |
| 2022 | 409 | $10K |
| 2023 | 1,019 | $40K |
| 2024 | 588 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 965 | 937 | $40K |
| V2784 | Lens polycarb or equal | 1,594 | 1,109 | $23K |
| 92014 | 247 | 227 | $21K | |
| 92340 | 973 | 953 | $16K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 384 | 295 | $13K |
| 92004 | 116 | 107 | $11K | |
| 92012 | 147 | 144 | $10K | |
| 92002 | 28 | 28 | $2K | |
| V2100 | Lens spher single plano 4.00 | 13 | 13 | $578.93 |