NPI: 1013116037 · SUMMERVILLE, SC 29485 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,895 | $30K |
| 2019 | 2,470 | $40K |
| 2020 | 2,561 | $44K |
| 2021 | 610 | $10K |
| 2023 | 211 | $3K |
| 2024 | 56 | $672.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 758 | 758 | $36K | |
| 92340 | 1,210 | 1,207 | $24K | |
| 92004 | 405 | 405 | $19K | |
| V2100 | Lens spher single plano 4.00 | 1,057 | 1,056 | $14K |
| V2020 | Vision svcs frames purchases | 1,403 | 1,402 | $14K |
| 92015 | 1,349 | 1,349 | $12K | |
| V2784 | Lens polycarb or equal | 1,403 | 1,402 | $5K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 218 | 218 | $3K |