NPI: 1215234398 · ROBERTSDALE, AL 36567 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 525 | $9K |
| 2019 | 456 | $9K |
| 2020 | 315 | $6K |
| 2021 | 750 | $8K |
| 2022 | 645 | $10K |
| 2023 | 1,022 | $18K |
| 2024 | 635 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,344 | 1,264 | $25K |
| 92340 | 1,196 | 1,128 | $18K | |
| V2755 | Uv lens/es | 869 | 409 | $12K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 447 | 275 | $4K |
| V2750 | Anti-reflective coating | 98 | 45 | $4K |
| V2784 | Lens polycarb or equal | 248 | 119 | $2K |
| V2101 | Single visn sphere 4.12-7.00 | 102 | 60 | $1K |
| V2100 | Lens spher single plano 4.00 | 44 | 25 | $424.00 |