NPI: 1225505878 · WATSONVILLE, CA 95076 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 538 | $11K |
| 2019 | 3,449 | $70K |
| 2020 | 3,775 | $80K |
| 2021 | 4,283 | $91K |
| 2022 | 2,666 | $56K |
| 2023 | 2,137 | $45K |
| 2024 | 2,058 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,416 | 2,415 | $83K | |
| 92014 | 2,598 | 2,597 | $75K | |
| 92340 | 3,858 | 3,856 | $75K | |
| V2020 | Vision svcs frames purchases | 3,795 | 3,793 | $74K |
| 92015 | 5,078 | 5,077 | $57K | |
| 99214 | 474 | 452 | $16K | |
| 92341 | 528 | 528 | $14K | |
| 99213 | 87 | 82 | $2K | |
| 92133 | 26 | 26 | $893.36 | |
| V2744 | Tint photochromatic lens/es | 46 | 46 | $826.16 |