NPI: 1033510300
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 142 | $3K |
| 2019 | 3,114 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 648 | 604 | $12K | |
| 92014 | 371 | 366 | $10K | |
| 92004 | 223 | 219 | $6K | |
| 92341 | 160 | 152 | $3K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 138 | 87 | $904.62 |
| V2100 | Lens spher single plano 4.00 | 90 | 55 | $777.44 |
| V2020 | Vision svcs frames purchases | 806 | 749 | $186.20 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 20 | 14 | $107.18 |
| V2756 | Eye glass case | 90 | 90 | $0.00 |
| 92342 | 90 | 90 | $0.00 | |
| 2019F | 129 | 129 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 130 | 130 | $0.00 |
| 92015 | 341 | 336 | $0.00 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 20 | 15 | $0.00 |