NPI: 1255521613 · WEST PALM BEACH, FL 33409 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $0.00 |
| 2019 | 249 | $4K |
| 2020 | 211 | $1K |
| 2021 | 616 | $7K |
| 2022 | 1,151 | $21K |
| 2023 | 1,597 | $28K |
| 2024 | 1,970 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 904 | 853 | $35K |
| 92014 | 625 | 590 | $22K | |
| 92004 | 558 | 531 | $19K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 535 | 500 | $14K |
| 92015 | 1,602 | 1,528 | $5K | |
| 92340 | 1,002 | 949 | $4K | |
| V2100 | Lens spher single plano 4.00 | 13 | 13 | $613.08 |
| V2784 | Lens polycarb or equal | 424 | 405 | $592.18 |
| V2025 | Eyeglasses delux frames | 28 | 27 | $0.00 |
| V2750 | Anti-reflective coating | 88 | 80 | $0.00 |
| S0595 | New lenses in pts old frame | 28 | 28 | $0.00 |