NPI: 1144275314 · PANAMA CITY, FL 32405 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 208 | $2K |
| 2020 | 149 | $1K |
| 2021 | 861 | $13K |
| 2022 | 2,821 | $43K |
| 2023 | 2,836 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 489 | 452 | $29K | |
| 92014 | 898 | 827 | $29K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 603 | 553 | $27K |
| V2100 | Lens spher single plano 4.00 | 293 | 256 | $12K |
| V2020 | Vision svcs frames purchases | 877 | 811 | $7K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 94 | 84 | $3K |
| 92340 | 1,301 | 1,179 | $703.00 | |
| 92015 | 1,482 | 1,379 | $464.50 | |
| V2025 | Eyeglasses delux frames | 564 | 506 | $0.00 |
| V2750 | Anti-reflective coating | 75 | 67 | $0.00 |
| V2784 | Lens polycarb or equal | 199 | 186 | $0.00 |