NPI: 1043462914 · PORT ORANGE, FL 32129 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,839 | $16K |
| 2021 | 2,798 | $101K |
| 2022 | 1,816 | $61K |
| 2023 | 1,780 | $79K |
| 2024 | 1,005 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 813 | 798 | $95K | |
| V2020 | Vision svcs frames purchases | 2,218 | 1,101 | $84K |
| 92004 | 506 | 497 | $83K | |
| V2100 | Lens spher single plano 4.00 | 1,158 | 517 | $7K |
| 92340 | 1,458 | 1,034 | $7K | |
| 92015 | 1,042 | 1,037 | $3K | |
| V2200 | Lens spher bifoc plano 4.00d | 58 | 24 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 830 | 338 | $425.00 |
| 3072F | 28 | 28 | $0.00 | |
| 92342 | 219 | 168 | $0.00 | |
| V2756 | Eye glass case | 219 | 168 | $0.00 |
| 2023F | 281 | 280 | $0.00 | |
| 2022F | 202 | 200 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 206 | 206 | $0.00 |