NPI: 1154618528 · SUMTER, SC 29150 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,137 | $78K |
| 2019 | 2,313 | $48K |
| 2020 | 1,113 | $21K |
| 2021 | 834 | $31K |
| 2022 | 2,199 | $69K |
| 2023 | 678 | $25K |
| 2024 | 2,250 | $74K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,426 | 1,426 | $92K | |
| 92014 | 1,379 | 1,377 | $83K | |
| V2020 | Vision svcs frames purchases | 1,787 | 1,778 | $52K |
| V2199 | Lens single vision not oth c | 850 | 846 | $34K |
| 92015 | 3,030 | 3,028 | $30K | |
| 92340 | 1,600 | 1,590 | $29K | |
| V2784 | Lens polycarb or equal | 1,787 | 1,778 | $17K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 665 | 663 | $9K |