NPI: 1154338416 · HOMESTEAD, FL 33030 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,013 | $8K |
| 2020 | 496 | $3K |
| 2021 | 118 | $320.00 |
| 2022 | 60 | $118.00 |
| 2023 | 24 | $489.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 148 | 145 | $4K | |
| 92340 | 307 | 294 | $4K | |
| 92004 | 145 | 126 | $3K | |
| V2020 | Vision svcs frames purchases | 492 | 420 | $499.75 |
| V2025 | Eyeglasses delux frames | 41 | 27 | $489.00 |
| 92341 | 19 | 13 | $255.00 | |
| 92015 | 416 | 384 | $96.63 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 53 | 41 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 45 | 43 | $0.00 |
| G0117 | Glaucoma scrn hgh risk direc | 12 | 12 | $0.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 21 | 13 | $0.00 |
| 2021F | 12 | 12 | $0.00 |