NPI: 1306454616 · WINCHESTER, KY 40391 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 185 | $5K |
| 2022 | 1,946 | $53K |
| 2023 | 504 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 385 | 380 | $24K | |
| 92004 | 256 | 248 | $21K | |
| V2020 | Vision svcs frames purchases | 482 | 472 | $16K |
| 92340 | 340 | 333 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 232 | 228 | $4K |
| V2784 | Lens polycarb or equal | 208 | 203 | $1K |
| 92341 | 15 | 15 | $165.00 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $150.00 |
| 92015 | 705 | 692 | $60.66 |