NPI: 1053470542 · HENDERSON, KY 42420 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 28 | $1K |
| 2021 | 396 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 53 | 46 | $3K | |
| V2020 | Vision svcs frames purchases | 91 | 87 | $3K |
| 92340 | 94 | 89 | $2K | |
| V2784 | Lens polycarb or equal | 102 | 97 | $628.51 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 26 | 26 | $430.00 |
| V2100 | Lens spher single plano 4.00 | 15 | 13 | $369.00 |
| V2760 | Scratch resistant coating | 43 | 39 | $62.00 |