NPI: 1295722908 · LAKELAND, FL 33813 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 391 | $6K |
| 2020 | 37 | $1K |
| 2021 | 317 | $5K |
| 2022 | 2,185 | $35K |
| 2023 | 1,950 | $36K |
| 2024 | 1,415 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 840 | 799 | $49K | |
| V2020 | Vision svcs frames purchases | 1,390 | 1,135 | $37K |
| 92004 | 140 | 135 | $8K | |
| 92340 | 1,324 | 1,051 | $6K | |
| 92015 | 1,274 | 1,209 | $4K | |
| V2100 | Lens spher single plano 4.00 | 1,290 | 1,016 | $3K |
| G8785 | Bp scrn no perf at interval | 12 | 12 | $0.00 |
| V2784 | Lens polycarb or equal | 13 | 13 | $0.00 |
| G8428 | Cur meds not document | 12 | 12 | $0.00 |