NPI: 1033745773 · ROBERTSDALE, AL 36567 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 354 | $4K |
| 2022 | 1,153 | $37K |
| 2023 | 2,076 | $60K |
| 2024 | 571 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2750 | Anti-reflective coating | 556 | 480 | $33K |
| V2755 | Uv lens/es | 495 | 416 | $30K |
| 92341 | 775 | 678 | $13K | |
| V2499 | Variable asphericity lens | 140 | 113 | $9K |
| 92014 | 101 | 100 | $8K | |
| 92015 | 760 | 719 | $6K | |
| V2784 | Lens polycarb or equal | 380 | 327 | $6K |
| V2020 | Vision svcs frames purchases | 700 | 604 | $5K |
| 92004 | 40 | 38 | $4K | |
| V2100 | Lens spher single plano 4.00 | 44 | 42 | $722.40 |
| V2760 | Scratch resistant coating | 163 | 135 | $0.00 |