NPI: 1114302346 · ORANGE PARK, FL 32073 · 152WV0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,862 | $11K |
| 2020 | 734 | $5K |
| 2021 | 808 | $16K |
| 2022 | 1,970 | $39K |
| 2023 | 1,150 | $23K |
| 2024 | 183 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 737 | 712 | $42K | |
| V2020 | Vision svcs frames purchases | 1,177 | 1,103 | $29K |
| 92004 | 489 | 487 | $22K | |
| V2100 | Lens spher single plano 4.00 | 845 | 766 | $1K |
| 92015 | 1,432 | 1,402 | $1K | |
| 92340 | 1,104 | 1,031 | $612.18 | |
| 3072F | 34 | 33 | $0.00 | |
| 92342 | 208 | 208 | $0.00 | |
| V2756 | Eye glass case | 203 | 203 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 52 | 26 | $0.00 |
| G0117 | Glaucoma scrn hgh risk direc | 257 | 257 | $0.00 |
| 2022F | 169 | 169 | $0.00 |