NPI: 1073602421 · MOUNT PLEASANT, SC 29464 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 3,231 | $49K |
| 2022 | 2,979 | $43K |
| 2023 | 490 | $7K |
| 2024 | 36 | $528.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 458 | 458 | $22K | |
| 92340 | 1,090 | 1,087 | $22K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 953 | 950 | $13K |
| V2020 | Vision svcs frames purchases | 1,082 | 1,079 | $11K |
| V2760 | Scratch resistant coating | 1,019 | 1,016 | $10K |
| 92004 | 195 | 195 | $9K | |
| 92015 | 809 | 809 | $7K | |
| V2784 | Lens polycarb or equal | 1,069 | 1,066 | $4K |
| V2100 | Lens spher single plano 4.00 | 61 | 61 | $847.00 |