NPI: 1225228166 · SPRINGFIELD, TN 37172 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 89 | $3K |
| 2019 | 254 | $6K |
| 2020 | 267 | $7K |
| 2021 | 275 | $9K |
| 2022 | 388 | $9K |
| 2023 | 411 | $9K |
| 2024 | 152 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 374 | 358 | $10K | |
| 92015 | 421 | 407 | $10K | |
| 92014 | 127 | 124 | $8K | |
| V2784 | Lens polycarb or equal | 205 | 198 | $7K |
| V2020 | Vision svcs frames purchases | 422 | 406 | $7K |
| 92004 | 28 | 27 | $2K | |
| V2100 | Lens spher single plano 4.00 | 98 | 95 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 19 | 12 | $253.90 |
| V2702 | Deluxe lens feature | 142 | 138 | $0.00 |