NPI: 1023301280 · MIAMI, FL 33142 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 395 | $2K |
| 2020 | 48 | $170.00 |
| 2022 | 73 | $30.02 |
| 2023 | 1,827 | $9K |
| 2024 | 2,105 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 730 | 347 | $17K | |
| 92004 | 160 | 133 | $5K | |
| 92015 | 1,099 | 603 | $4K | |
| V2020 | Vision svcs frames purchases | 991 | 538 | $3K |
| 92340 | 184 | 172 | $2K | |
| V2100 | Lens spher single plano 4.00 | 364 | 142 | $365.95 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 19 | 19 | $208.43 |
| 2023F | 22 | 13 | $0.01 | |
| 92250 | 458 | 185 | $0.00 | |
| V2784 | Lens polycarb or equal | 65 | 59 | $0.00 |
| 1000F | 356 | 150 | $0.00 |