NPI: 1205357563 · ANTIOCH, TN 37013 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 131 | $2K |
| 2019 | 170 | $3K |
| 2020 | 207 | $5K |
| 2022 | 3,003 | $90K |
| 2023 | 4,157 | $111K |
| 2024 | 157 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,288 | 1,257 | $51K | |
| 92250 | 1,387 | 1,338 | $45K | |
| V2020 | Vision svcs frames purchases | 977 | 936 | $32K |
| 92015 | 1,620 | 1,585 | $29K | |
| 92340 | 852 | 823 | $23K | |
| 92004 | 394 | 387 | $17K | |
| V2784 | Lens polycarb or equal | 616 | 597 | $6K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 368 | 353 | $3K |
| 92341 | 89 | 80 | $3K | |
| 92083 | 99 | 94 | $2K | |
| V2100 | Lens spher single plano 4.00 | 91 | 90 | $1K |
| 92273 | 13 | 13 | $528.97 | |
| 92012 | 18 | 18 | $414.99 | |
| 99213 | 13 | 13 | $335.82 |