NPI: 1083266498 · MACON, MS 39341 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,352 | $100K |
| 2021 | 3,760 | $139K |
| 2022 | 2,354 | $89K |
| 2023 | 370 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,056 | 996 | $98K | |
| 92004 | 724 | 685 | $82K | |
| V2020 | Vision svcs frames purchases | 1,957 | 1,769 | $61K |
| 92015 | 2,110 | 1,950 | $33K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 857 | 830 | $23K |
| 92340 | 1,848 | 1,671 | $19K | |
| V2100 | Lens spher single plano 4.00 | 452 | 392 | $13K |
| V2784 | Lens polycarb or equal | 818 | 740 | $7K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 14 | 14 | $396.51 |