NPI: 1033202577 · MONTGOMERY, AL 36117 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,505 | $436K |
| 2019 | 14,660 | $237K |
| 2024 | 32 | $910.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 3,386 | 2,777 | $147K | |
| V2020 | Vision svcs frames purchases | 6,067 | 4,991 | $97K |
| 92014 | 2,087 | 1,756 | $82K | |
| 92283 | 5,081 | 4,036 | $70K | |
| 92340 | 6,036 | 4,967 | $67K | |
| 92250 | 2,319 | 1,956 | $67K | |
| V2784 | Lens polycarb or equal | 4,413 | 3,549 | $42K |
| 92285 | 1,536 | 1,313 | $30K | |
| V2499 | Variable asphericity lens | 324 | 317 | $29K |
| 92015 | 5,422 | 4,320 | $28K | |
| 92083 | 247 | 208 | $7K | |
| 92100 | 92 | 81 | $4K | |
| S0620 | Routine ophthalmological exa | 109 | 96 | $3K |
| 99212 | 78 | 69 | $2K |