NPI: 1093263162 · KAILUA KONA, HI 96740 · 332BC3200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 115 | $2K |
| 2019 | 363 | $0.00 |
| 2020 | 481 | $0.00 |
| 2021 | 104 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Eyeglasses delux frames | 20 | 19 | $715.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 18 | 16 | $693.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 148 | 84 | $201.20 |
| V2020 | Vision svcs frames purchases | 387 | 284 | $0.00 |
| 92340 | 106 | 83 | $0.00 | |
| V2756 | Eye glass case | 362 | 288 | $0.00 |
| V2784 | Lens polycarb or equal | 22 | 15 | $0.00 |