NPI: 1053343269 · MIDDLEBURG, FL 32068 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,316 | $7K |
| 2020 | 465 | $2K |
| 2021 | 896 | $14K |
| 2022 | 1,969 | $40K |
| 2023 | 1,935 | $40K |
| 2024 | 1,191 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 779 | 756 | $44K | |
| V2020 | Vision svcs frames purchases | 1,654 | 1,570 | $41K |
| 92004 | 516 | 509 | $25K | |
| 92340 | 1,528 | 1,435 | $8K | |
| 92015 | 1,686 | 1,646 | $4K | |
| V2100 | Lens spher single plano 4.00 | 1,248 | 1,132 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 13 | 13 | $322.52 |
| 92342 | 378 | 371 | $275.16 | |
| 92341 | 12 | 12 | $43.36 | |
| 2022F | 200 | 199 | $0.00 | |
| V2750 | Anti-reflective coating | 26 | 26 | $0.00 |
| V2025 | Eyeglasses delux frames | 31 | 31 | $0.00 |
| V2756 | Eye glass case | 360 | 355 | $0.00 |
| V2784 | Lens polycarb or equal | 95 | 90 | $0.00 |
| 3072F | 114 | 114 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 132 | 65 | $0.00 |