NPI: 1194722819 · ELIZABETHTOWN, KY 42701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,359 | $48K |
| 2019 | 736 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 435 | 417 | $19K | |
| V2020 | Vision svcs frames purchases | 469 | 439 | $12K |
| 92002 | 197 | 191 | $10K | |
| V2100 | Lens spher single plano 4.00 | 315 | 297 | $9K |
| 92014 | 123 | 113 | $8K | |
| 92340 | 243 | 234 | $8K | |
| 92004 | 20 | 12 | $989.40 | |
| V2784 | Lens polycarb or equal | 72 | 63 | $579.66 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 40 | 26 | $504.40 |
| 92370 | 15 | 15 | $424.85 | |
| 92015 | 166 | 145 | $0.00 |