NPI: 1093199192 · MOUNTAIN CITY, TN 37683 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 244 | $4K |
| 2019 | 424 | $6K |
| 2020 | 370 | $2K |
| 2021 | 322 | $1K |
| 2022 | 39 | $170.00 |
| 2023 | 139 | $615.00 |
| 2024 | 85 | $420.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 376 | 369 | $5K | |
| 92004 | 142 | 129 | $4K | |
| 92015 | 375 | 362 | $4K | |
| 92014 | 71 | 64 | $3K | |
| V2020 | Vision svcs frames purchases | 348 | 339 | $0.00 |
| V2784 | Lens polycarb or equal | 283 | 278 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 15 | 14 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 13 | 12 | $0.00 |