NPI: 1255999355 · WINTER HAVEN, FL 33880 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 28 | $90.00 |
| 2021 | 793 | $13K |
| 2022 | 2,711 | $45K |
| 2023 | 2,787 | $45K |
| 2024 | 2,859 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 726 | 663 | $44K | |
| 92014 | 1,250 | 1,154 | $44K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,107 | 997 | $36K |
| 92015 | 1,960 | 1,812 | $13K | |
| 92340 | 1,775 | 1,597 | $12K | |
| V2020 | Vision svcs frames purchases | 1,280 | 1,153 | $11K |
| V2100 | Lens spher single plano 4.00 | 344 | 310 | $10K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 24 | 24 | $574.50 |
| V2025 | Eyeglasses delux frames | 613 | 553 | $0.00 |
| V2784 | Lens polycarb or equal | 99 | 89 | $0.00 |