NPI: 1033211594 · PENSACOLA, FL 32505 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,846 | $34K |
| 2024 | 754 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 387 | 372 | $28K | |
| 92004 | 82 | 78 | $7K | |
| V2020 | Vision svcs frames purchases | 553 | 496 | $3K |
| 92015 | 572 | 514 | $3K | |
| 92340 | 327 | 305 | $2K | |
| 92341 | 187 | 178 | $1K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 339 | 306 | $1K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 24 | 19 | $701.06 |
| V2100 | Lens spher single plano 4.00 | 31 | 28 | $557.08 |
| V2755 | Uv lens/es | 16 | 13 | $169.96 |
| V2200 | Lens spher bifoc plano 4.00d | 27 | 13 | $0.00 |
| V2025 | Eyeglasses delux frames | 55 | 30 | $0.00 |