NPI: 1194360362 · BRADENTON, FL 34207 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 289 | $3K |
| 2021 | 1,442 | $26K |
| 2022 | 6,068 | $105K |
| 2023 | 5,994 | $115K |
| 2024 | 3,325 | $83K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,375 | 2,202 | $100K |
| 92004 | 1,306 | 1,232 | $81K | |
| 92014 | 2,225 | 2,101 | $77K | |
| V2020 | Vision svcs frames purchases | 2,578 | 2,401 | $22K |
| 92015 | 3,468 | 3,278 | $16K | |
| 92340 | 3,012 | 2,804 | $15K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 306 | 289 | $11K |
| V2100 | Lens spher single plano 4.00 | 244 | 225 | $6K |
| V2599 | Contact lens/es other type | 35 | 25 | $2K |
| 92310 | 47 | 41 | $200.00 | |
| V2784 | Lens polycarb or equal | 406 | 378 | $15.00 |
| V2025 | Eyeglasses delux frames | 947 | 888 | $0.00 |
| V2750 | Anti-reflective coating | 169 | 149 | $0.00 |