NPI: 1114325164 · JACKSON, MS 39213 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,247 | $42K |
| 2019 | 3,242 | $61K |
| 2020 | 3,121 | $53K |
| 2021 | 4,030 | $74K |
| 2022 | 4,860 | $90K |
| 2023 | 4,008 | $83K |
| 2024 | 3,058 | $61K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 8,601 | 8,039 | $215K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 5,690 | 5,317 | $147K |
| V2100 | Lens spher single plano 4.00 | 1,321 | 1,214 | $32K |
| V2784 | Lens polycarb or equal | 6,436 | 6,004 | $32K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 669 | 626 | $16K |
| V2107 | Spherocylinder 4.25d/12-2d | 426 | 362 | $11K |
| V2750 | Anti-reflective coating | 1,249 | 1,152 | $8K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 74 | 71 | $3K |
| V2799 | Misc vision item or service | 74 | 67 | $0.00 |
| V2760 | Scratch resistant coating | 13 | 13 | $0.00 |
| V2025 | Eyeglasses delux frames | 13 | 13 | $0.00 |