NPI: 1013586742 · NEWPORT, TN 37821 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,078 | $14K |
| 2024 | 2,083 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 474 | 450 | $20K | |
| 92004 | 199 | 192 | $9K | |
| 92340 | 484 | 477 | $7K | |
| 92015 | 606 | 576 | $4K | |
| V2784 | Lens polycarb or equal | 473 | 469 | $2.50 |
| S0516 | Safety frames | 13 | 13 | $0.00 |
| V2020 | Vision svcs frames purchases | 469 | 463 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 377 | 372 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 52 | 52 | $0.00 |
| S0504 | Singl prscrp lens | 14 | 14 | $0.00 |