NPI: 1225051956 · NICHOLASVILLE, KY 40356 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,613 | $42K |
| 2019 | 634 | $18K |
| 2021 | 42 | $567.00 |
| 2022 | 39 | $537.00 |
| 2024 | 24 | $131.52 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 257 | 254 | $17K | |
| 92340 | 414 | 403 | $13K | |
| V2020 | Vision svcs frames purchases | 468 | 427 | $12K |
| 92004 | 116 | 112 | $10K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 195 | 191 | $3K |
| V2784 | Lens polycarb or equal | 300 | 283 | $2K |
| 92015 | 244 | 228 | $2K | |
| 92250 | 14 | 13 | $628.59 | |
| V2760 | Scratch resistant coating | 288 | 275 | $442.02 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 18 | 15 | $246.00 |
| V2100 | Lens spher single plano 4.00 | 14 | 14 | $199.40 |
| S0504 | Singl prscrp lens | 12 | 12 | $110.10 |
| S9999 | Sales tax | 12 | 12 | $21.42 |