NPI: 1306389739 · SUNRISE, FL 33351 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 560 | $3K |
| 2020 | 175 | $304.50 |
| 2021 | 450 | $6K |
| 2022 | 1,812 | $29K |
| 2023 | 1,219 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 765 | 719 | $23K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 551 | 474 | $19K |
| 92004 | 186 | 177 | $10K | |
| V2100 | Lens spher single plano 4.00 | 28 | 28 | $2K |
| V2020 | Vision svcs frames purchases | 528 | 505 | $1K |
| 92015 | 959 | 899 | $220.00 | |
| 92340 | 834 | 781 | $105.50 | |
| V2756 | Eye glass case | 16 | 16 | $0.00 |
| V2784 | Lens polycarb or equal | 56 | 55 | $0.00 |
| 92342 | 16 | 16 | $0.00 | |
| V2025 | Eyeglasses delux frames | 264 | 240 | $0.00 |
| 2021F | 13 | 13 | $0.00 |