NPI: 1154365542 · HATTIESBURG, MS 39402 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,647 | $49K |
| 2019 | 851 | $28K |
| 2020 | 847 | $26K |
| 2021 | 871 | $27K |
| 2022 | 830 | $25K |
| 2023 | 1,095 | $37K |
| 2024 | 764 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 1,323 | 1,209 | $83K | |
| 92340 | 2,939 | 2,821 | $59K | |
| 92014 | 471 | 426 | $32K | |
| V2020 | Vision svcs frames purchases | 587 | 580 | $20K |
| 92004 | 234 | 211 | $17K | |
| 92002 | 88 | 82 | $5K | |
| V2100 | Lens spher single plano 4.00 | 81 | 81 | $3K |
| 92015 | 180 | 173 | $3K | |
| V2410 | Lens variab asphericity sing | 99 | 99 | $810.00 |
| 3072F | 418 | 406 | $0.00 | |
| 2023F | 247 | 234 | $0.00 | |
| V2784 | Lens polycarb or equal | 238 | 234 | $0.00 |