NPI: 1093737850
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,792 | $11K |
| 2020 | 1,254 | $9K |
| 2021 | 520 | $13K |
| 2022 | 1,184 | $23K |
| 2023 | 381 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 933 | 910 | $24K | |
| 92014 | 401 | 395 | $18K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 151 | 145 | $13K |
| V2100 | Lens spher single plano 4.00 | 61 | 33 | $5K |
| 92340 | 717 | 706 | $2K | |
| 92015 | 1,180 | 1,159 | $764.97 | |
| V2020 | Vision svcs frames purchases | 926 | 887 | $405.80 |
| 92341 | 12 | 12 | $104.10 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 221 | 124 | $11.00 |
| 92342 | 367 | 367 | $0.00 | |
| V2756 | Eye glass case | 367 | 367 | $0.00 |
| 2021F | 396 | 396 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 399 | 399 | $0.00 |