NPI: 1285895946 · SPRING HILL, TN 37174 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 908 | $14K |
| 2019 | 1,780 | $35K |
| 2020 | 597 | $9K |
| 2021 | 126 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 330 | 321 | $12K | |
| V2100 | Lens spher single plano 4.00 | 752 | 731 | $12K |
| V2020 | Vision svcs frames purchases | 942 | 912 | $11K |
| 92014 | 154 | 146 | $9K | |
| 92340 | 226 | 219 | $7K | |
| V2784 | Lens polycarb or equal | 962 | 933 | $7K |
| 92004 | 30 | 30 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 15 | 15 | $270.00 |