NPI: 1053388215 · LUTZ, FL 33548 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,653 | $15K |
| 2020 | 1,277 | $10K |
| 2021 | 1,653 | $20K |
| 2022 | 1,082 | $15K |
| 2023 | 1,140 | $9K |
| 2024 | 1,097 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 2,132 | 2,004 | $34K | |
| 92341 | 1,097 | 1,026 | $16K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,085 | 1,020 | $8K |
| 92014 | 186 | 160 | $7K | |
| 92012 | 104 | 99 | $6K | |
| 99336 | 82 | 62 | $5K | |
| 99308 | 48 | 48 | $2K | |
| V2020 | Vision svcs frames purchases | 1,326 | 1,251 | $2K |
| 3072F | 220 | 209 | $2K | |
| 92004 | 18 | 13 | $625.00 | |
| V2755 | Uv lens/es | 694 | 660 | $224.66 |
| 92340 | 22 | 16 | $206.72 | |
| V2784 | Lens polycarb or equal | 128 | 126 | $110.00 |
| V2745 | Tint, any color/solid/grad | 714 | 680 | $93.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 21 | 15 | $0.00 |
| V2025 | Eyeglasses delux frames | 25 | 13 | $0.00 |