NPI: 1194807016 · FAYETTEVILLE, TN 37334 · Optician
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 326 | $4K |
| 2019 | 227 | $3K |
| 2020 | 142 | $2K |
| 2021 | 390 | $2K |
| 2022 | 777 | $4K |
| 2023 | 570 | $3K |
| 2024 | 171 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 1,692 | 1,567 | $14K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 356 | 342 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 54 | 54 | $964.24 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 216 | 172 | $102.00 |
| V2750 | Anti-reflective coating, per lens | 234 | 221 | $65.00 |
| V2744 | Tint, photochromatic, per lens | 51 | 50 | $0.00 |