NPI: 1114604501 · LONDON, KY 40741 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 133 | $1K |
| 2024 | 2,605 | $138K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 946 | 933 | $59K | |
| 92004 | 359 | 356 | $32K | |
| 92014 | 474 | 460 | $31K | |
| 92002 | 110 | 107 | $5K | |
| 99213 | 139 | 120 | $5K | |
| 92012 | 53 | 53 | $2K | |
| 92015 | 154 | 148 | $2K | |
| S0516 | Safety frames | 48 | 48 | $767.04 |
| V2020 | Vision svcs frames purchases | 180 | 95 | $667.50 |
| 92370 | 25 | 24 | $638.00 | |
| S0504 | Singl prscrp lens | 48 | 48 | $443.22 |
| V2784 | Lens polycarb or equal | 141 | 73 | $229.00 |
| S9999 | Sales tax | 61 | 61 | $98.67 |