NPI: 1255472502 · GREENVILLE, MS 38701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,885 | $62K |
| 2019 | 1,460 | $45K |
| 2020 | 676 | $18K |
| 2021 | 451 | $12K |
| 2022 | 334 | $8K |
| 2023 | 427 | $11K |
| 2024 | 224 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 1,744 | 1,674 | $41K | |
| V2020 | Vision svcs frames purchases | 1,185 | 1,154 | $37K |
| 92012 | 325 | 316 | $23K | |
| 92014 | 215 | 206 | $21K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 539 | 528 | $15K |
| 92340 | 909 | 890 | $12K | |
| 92004 | 54 | 46 | $5K | |
| 92002 | 58 | 57 | $4K | |
| V2100 | Lens spher single plano 4.00 | 44 | 42 | $1K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 13 | 13 | $641.16 |
| 92341 | 28 | 28 | $385.28 | |
| 2026F | 330 | 301 | $0.00 | |
| V2784 | Lens polycarb or equal | 13 | 13 | $0.00 |