NPI: 1205991791 · ELIZABETHTOWN, KY 42701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,646 | $46K |
| 2019 | 625 | $15K |
| 2020 | 659 | $38K |
| 2021 | 424 | $25K |
| 2022 | 37 | $2K |
| 2023 | 142 | $9K |
| 2024 | 135 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,943 | 1,866 | $99K | |
| 92004 | 595 | 565 | $26K | |
| V2100 | Lens spher single plano 4.00 | 423 | 402 | $10K |
| V2020 | Vision svcs frames purchases | 433 | 409 | $4K |
| V2784 | Lens polycarb or equal | 126 | 121 | $1K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 28 | 15 | $338.10 |
| 92015 | 97 | 88 | $145.00 | |
| 92340 | 23 | 23 | $0.00 |