NPI: 1134672629 · LIVINGSTON, TN 38570 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,945 | $143K |
| 2019 | 2,187 | $81K |
| 2022 | 128 | $543.00 |
| 2023 | 192 | $2K |
| 2024 | 206 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 920 | 896 | $81K | |
| 92014 | 647 | 627 | $42K | |
| 92340 | 1,084 | 1,073 | $33K | |
| V2020 | Vision svcs frames purchases | 1,077 | 1,062 | $27K |
| 99213 | 471 | 428 | $17K | |
| V2100 | Lens spher single plano 4.00 | 382 | 378 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 400 | 397 | $7K |
| 92015 | 449 | 428 | $4K | |
| V2784 | Lens polycarb or equal | 645 | 639 | $4K |
| 99203 | 38 | 37 | $3K | |
| V2760 | Scratch resistant coating | 517 | 514 | $1K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 28 | 28 | $549.40 |