NPI: 1306863105 · MELBOURNE, FL 32940 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 3,452 | $24K |
| 2020 | 2,057 | $21K |
| 2021 | 2,030 | $35K |
| 2022 | 4,068 | $64K |
| 2023 | 3,201 | $50K |
| 2024 | 1,045 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,492 | 2,279 | $91K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,876 | 1,579 | $43K |
| 92004 | 845 | 787 | $41K | |
| V2100 | Lens spher single plano 4.00 | 804 | 676 | $16K |
| V2020 | Vision svcs frames purchases | 2,679 | 2,486 | $12K |
| 92340 | 2,907 | 2,673 | $6K | |
| 92015 | 3,015 | 2,745 | $5K | |
| 92341 | 26 | 26 | $39.50 | |
| V2756 | Eye glass case | 246 | 246 | $0.00 |
| 92342 | 246 | 246 | $0.00 | |
| V2784 | Lens polycarb or equal | 84 | 77 | $0.00 |
| V2025 | Eyeglasses delux frames | 505 | 461 | $0.00 |
| 2021F | 128 | 128 | $0.00 |