NPI: 1083783963 · MCCOMB, MS 39648 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,172 | $254K |
| 2019 | 4,921 | $233K |
| 2020 | 4,317 | $140K |
| 2021 | 3,942 | $144K |
| 2022 | 2,644 | $101K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,885 | 1,748 | $167K | |
| 92015 | 4,363 | 4,157 | $155K | |
| V2020 | Vision svcs frames purchases | 4,463 | 4,250 | $146K |
| V2100 | Lens spher single plano 4.00 | 3,761 | 3,590 | $133K |
| 92004 | 802 | 761 | $92K | |
| 92012 | 969 | 964 | $69K | |
| 92340 | 3,425 | 3,261 | $63K | |
| V2200 | Lens spher bifoc plano 4.00d | 507 | 478 | $23K |
| 92002 | 241 | 241 | $16K | |
| 92341 | 447 | 417 | $8K | |
| V2784 | Lens polycarb or equal | 133 | 131 | $0.00 |