NPI: 1992944979 · SAINT ROBERT, MO 65584 · 302R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 124 | $2K |
| 2019 | 189 | $2K |
| 2020 | 145 | $2K |
| 2021 | 706 | $13K |
| 2022 | 1,018 | $31K |
| 2023 | 902 | $36K |
| 2024 | 533 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 514 | 511 | $44K | |
| 92014 | 502 | 494 | $34K | |
| 92340 | 872 | 872 | $7K | |
| 92015 | 1,366 | 1,354 | $6K | |
| V2020 | Vision svcs frames purchases | 176 | 162 | $3K |
| 92100 | 80 | 76 | $1K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 20 | 12 | $574.14 |
| 92250 | 42 | 40 | $538.15 | |
| V2219 | Lens bifocal seg width over | 33 | 16 | $532.00 |
| 92225 | 12 | 12 | $126.08 |