NPI: 1265495212 · ST PETERSBURG, FL 33704 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 57 | $191.00 |
| 2020 | 88 | $176.50 |
| 2021 | 270 | $3K |
| 2022 | 1,494 | $26K |
| 2023 | 1,525 | $26K |
| 2024 | 702 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 567 | 519 | $24K |
| 92014 | 469 | 444 | $17K | |
| 92004 | 267 | 246 | $15K | |
| V2020 | Vision svcs frames purchases | 810 | 751 | $5K |
| 92015 | 1,007 | 932 | $4K | |
| 92340 | 913 | 848 | $4K | |
| V2100 | Lens spher single plano 4.00 | 65 | 65 | $2K |
| V2025 | Eyeglasses delux frames | 38 | 31 | $0.00 |