NPI: 1275765265 · PLANT CITY, FL 33563 · Optometrist
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 936 | $10K |
| 2020 | 14 | $0.00 |
| 2024 | 162 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 104 | 98 | $5K | |
| 92340 | 167 | 163 | $4K | |
| 92004 | 105 | 90 | $3K | |
| 92015 | 318 | 294 | $1K | |
| V2020 | Frames, purchases | 207 | 186 | $317.50 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15 | 15 | $154.00 |
| 92342 | 30 | 30 | $39.66 | |
| V2756 | Eye glass case | 29 | 29 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 97 | 88 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 14 | 14 | $0.00 |
| 3072F | 13 | 13 | $0.00 | |
| 2022F | 13 | 13 | $0.00 |