NPI: 1093167157 · GRENADA, MS 38901 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,909 | $87K |
| 2019 | 1,537 | $66K |
| 2020 | 1,578 | $57K |
| 2021 | 1,540 | $53K |
| 2022 | 861 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 1,869 | 1,826 | $71K | |
| V2020 | Vision svcs frames purchases | 1,662 | 1,631 | $58K |
| 92012 | 777 | 768 | $55K | |
| 92014 | 423 | 406 | $38K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 952 | 932 | $28K |
| 92340 | 1,551 | 1,526 | $27K | |
| 92004 | 71 | 71 | $9K | |
| 92002 | 65 | 65 | $4K | |
| V2100 | Lens spher single plano 4.00 | 43 | 43 | $2K |
| V2784 | Lens polycarb or equal | 12 | 12 | $0.00 |