NPI: 1063653632 · PINELLAS PARK, FL 33781 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,008 | $20K |
| 2020 | 724 | $12K |
| 2021 | 889 | $14K |
| 2022 | 3,001 | $47K |
| 2023 | 283 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 905 | 862 | $47K | |
| 92004 | 310 | 291 | $24K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 669 | 635 | $18K |
| V2100 | Lens spher single plano 4.00 | 144 | 137 | $3K |
| 92340 | 1,151 | 1,089 | $3K | |
| V2020 | Vision svcs frames purchases | 1,005 | 953 | $2K |
| 92015 | 1,359 | 1,302 | $443.68 | |
| 92310 | 13 | 12 | $100.00 | |
| V2025 | Eyeglasses delux frames | 205 | 191 | $0.00 |
| V2784 | Lens polycarb or equal | 144 | 140 | $0.00 |