NPI: 1013997055 · STARKE, FL 32091 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 626 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 67 | 67 | $3K | |
| 92004 | 45 | 45 | $3K | |
| 92340 | 68 | 61 | $47.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 48 | 42 | $0.00 |
| 3072F | 22 | 22 | $0.00 | |
| V2784 | Lens polycarb or equal | 12 | 12 | $0.00 |
| 92015 | 148 | 141 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 65 | 65 | $0.00 |
| 2022F | 66 | 66 | $0.00 | |
| V2020 | Vision svcs frames purchases | 85 | 78 | $0.00 |