NPI: 1225700230 · MONTGOMERY, AL 36106 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 339 | $6K |
| 2023 | 1,660 | $35K |
| 2024 | 2,155 | $45K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2499 | Variable asphericity lens | 739 | 481 | $36K |
| 92340 | 1,011 | 704 | $15K | |
| V2020 | Vision svcs frames purchases | 1,028 | 716 | $13K |
| V2750 | Anti-reflective coating | 220 | 180 | $11K |
| V2784 | Lens polycarb or equal | 292 | 236 | $4K |
| V2100 | Lens spher single plano 4.00 | 218 | 186 | $3K |
| V2755 | Uv lens/es | 646 | 423 | $3K |