NPI: 1184937690 · SALTILLO, MS 38866 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,197 | $157K |
| 2019 | 3,000 | $113K |
| 2020 | 1,573 | $58K |
| 2021 | 1,574 | $65K |
| 2022 | 826 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,618 | 1,557 | $155K | |
| 92015 | 2,195 | 2,109 | $82K | |
| V2020 | Vision svcs frames purchases | 2,131 | 2,051 | $70K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 1,736 | 1,664 | $54K |
| 92004 | 304 | 296 | $36K | |
| 92340 | 1,900 | 1,828 | $25K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 125 | 124 | $4K |
| 92012 | 30 | 26 | $2K | |
| V2784 | Lens polycarb or equal | 1,131 | 1,075 | $0.00 |