NPI: 1285969055 · LEBANON, KY 40033 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,031 | $39K |
| 2019 | 1,098 | $36K |
| 2020 | 903 | $27K |
| 2021 | 334 | $7K |
| 2022 | 234 | $6K |
| 2023 | 3,556 | $98K |
| 2024 | 3,790 | $106K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 900 | 883 | $85K | |
| 92014 | 1,191 | 1,165 | $82K | |
| V2020 | Vision svcs frames purchases | 1,835 | 1,542 | $42K |
| 92340 | 1,130 | 1,069 | $35K | |
| 92012 | 445 | 430 | $20K | |
| 92002 | 292 | 285 | $15K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 879 | 719 | $13K |
| 92015 | 2,379 | 2,314 | $8K | |
| V2100 | Lens spher single plano 4.00 | 333 | 301 | $8K |
| V2784 | Lens polycarb or equal | 854 | 697 | $5K |
| 99213 | 50 | 43 | $2K | |
| 92250 | 55 | 51 | $2K | |
| V2760 | Scratch resistant coating | 451 | 418 | $858.98 |
| S0516 | Safety frames | 29 | 29 | $463.42 |
| 92341 | 13 | 13 | $449.00 | |
| S0504 | Singl prscrp lens | 30 | 30 | $282.30 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 16 | 13 | $250.00 |
| S9999 | Sales tax | 64 | 63 | $91.29 |