NPI: 1255854113 · BOWLING GREEN, KY 42104 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,457 | $39K |
| 2020 | 2,419 | $59K |
| 2021 | 1,760 | $43K |
| 2022 | 96 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 944 | 848 | $57K | |
| V2020 | Vision svcs frames purchases | 940 | 852 | $26K |
| 92340 | 922 | 834 | $23K | |
| 92004 | 257 | 238 | $22K | |
| V2100 | Lens spher single plano 4.00 | 587 | 543 | $10K |
| V2784 | Lens polycarb or equal | 616 | 549 | $4K |
| V2760 | Scratch resistant coating | 537 | 497 | $875.56 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 39 | 26 | $530.76 |
| 92015 | 890 | 807 | $100.00 |