NPI: 1285171272 · LARGO, FL 33770 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 757 | $8K |
| 2020 | 503 | $5K |
| 2021 | 607 | $8K |
| 2022 | 1,158 | $17K |
| 2023 | 580 | $9K |
| 2024 | 563 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 557 | 524 | $25K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 682 | 613 | $14K |
| 92004 | 125 | 109 | $9K | |
| 92340 | 901 | 818 | $4K | |
| V2020 | Vision svcs frames purchases | 861 | 790 | $4K |
| 92015 | 949 | 876 | $4K | |
| V2100 | Lens spher single plano 4.00 | 16 | 15 | $22.00 |
| V2025 | Eyeglasses delux frames | 62 | 60 | $0.00 |
| V2784 | Lens polycarb or equal | 15 | 14 | $0.00 |