NPI: 1215977822 · DYERSBURG, TN 38024 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 544 | $6K |
| 2020 | 855 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 244 | 223 | $8K | |
| 92015 | 304 | 267 | $6K | |
| V2784 | Lens polycarb or equal | 241 | 222 | $4K |
| 92340 | 158 | 140 | $3K | |
| V2020 | Vision svcs frames purchases | 249 | 227 | $2K |
| 92250 | 121 | 120 | $1K | |
| 92004 | 15 | 15 | $877.01 | |
| V2100 | Lens spher single plano 4.00 | 55 | 51 | $478.16 |
| S9986 | Not medically necessary svc | 12 | 12 | $51.20 |