NPI: 1205858115 · CLEARWATER, FL 33765 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,522 | $18K |
| 2020 | 806 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 368 | 356 | $16K | |
| 92004 | 295 | 276 | $11K | |
| 92340 | 386 | 372 | $3K | |
| V2020 | Vision svcs frames purchases | 415 | 401 | $332.00 |
| 92015 | 520 | 481 | $40.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 230 | 160 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 88 | 66 | $0.00 |
| 92342 | 13 | 13 | $0.00 | |
| V2756 | Eye glass case | 13 | 13 | $0.00 |