NPI: 1154706521 · SHELBYVILLE, KY 40065 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,866 | $75K |
| 2019 | 1,742 | $44K |
| 2024 | 123 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 629 | 610 | $44K | |
| 92065 | 688 | 257 | $17K | |
| 97530 | 687 | 256 | $15K | |
| 97112 | 661 | 244 | $14K | |
| V2020 | Vision svcs frames purchases | 325 | 310 | $8K |
| V2100 | Lens spher single plano 4.00 | 265 | 254 | $7K |
| 92340 | 207 | 201 | $6K | |
| 92004 | 53 | 52 | $5K | |
| V2784 | Lens polycarb or equal | 345 | 329 | $4K |
| 99213 | 85 | 79 | $4K | |
| 92060 | 71 | 54 | $2K | |
| 96111 | 31 | 27 | $1K | |
| 96112 | 37 | 24 | $900.10 | |
| 92015 | 647 | 622 | $20.22 |