NPI: 1265544621 · MIAMI GARDENS, FL 33055 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 165 | $3K |
| 2020 | 258 | $6K |
| 2021 | 18 | $0.00 |
| 2022 | 414 | $12K |
| 2023 | 569 | $14K |
| 2024 | 285 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2115 | Lens lenticular bifocal | 258 | 251 | $26K |
| 92340 | 410 | 399 | $8K | |
| V2315 | Lens lenticular trifocal | 28 | 26 | $3K |
| V2020 | Vision svcs frames purchases | 811 | 771 | $3K |
| V2599 | Contact lens/es other type | 12 | 12 | $1K |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 163 | 156 | $1K |
| 92341 | 14 | 14 | $536.22 | |
| 92342 | 13 | 13 | $205.00 |