NPI: 1154841278 · LARGO, FL 33771 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 5,176 | $90K |
| 2023 | 3,701 | $68K |
| 2024 | 1,373 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,257 | 1,150 | $51K |
| 92004 | 699 | 652 | $47K | |
| 92014 | 1,531 | 1,407 | $45K | |
| V2100 | Lens spher single plano 4.00 | 527 | 481 | $18K |
| V2020 | Vision svcs frames purchases | 1,326 | 1,214 | $10K |
| 92015 | 2,054 | 1,914 | $5K | |
| 92340 | 1,806 | 1,640 | $5K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 14 | 13 | $1K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 27 | 26 | $540.00 |
| 92341 | 31 | 26 | $206.32 | |
| V2025 | Eyeglasses delux frames | 702 | 634 | $0.00 |
| V2750 | Anti-reflective coating | 40 | 38 | $0.00 |
| V2784 | Lens polycarb or equal | 236 | 225 | $0.00 |