NPI: 1114186624 · BARTLETT, TN 38133 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 468 | $4K |
| 2020 | 408 | $6K |
| 2021 | 524 | $6K |
| 2022 | 488 | $6K |
| 2023 | 368 | $3K |
| 2024 | 375 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 717 | 697 | $12K | |
| 92015 | 505 | 476 | $9K | |
| 92014 | 92 | 90 | $5K | |
| 92004 | 42 | 38 | $2K | |
| V2020 | Vision svcs frames purchases | 607 | 583 | $400.00 |
| V2784 | Lens polycarb or equal | 591 | 565 | $44.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 64 | 64 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 13 | 13 | $0.00 |