NPI: 1306925029 · SOUTHAVEN, MS 38671 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,152 | $121K |
| 2019 | 4,573 | $183K |
| 2020 | 2,185 | $91K |
| 2021 | 2,041 | $80K |
| 2022 | 1,153 | $47K |
| 2023 | 436 | $15K |
| 2024 | 108 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,786 | 1,665 | $158K | |
| 92004 | 914 | 868 | $100K | |
| 92015 | 3,183 | 2,924 | $97K | |
| V2020 | Vision svcs frames purchases | 2,737 | 2,557 | $84K |
| V2100 | Lens spher single plano 4.00 | 1,350 | 1,269 | $47K |
| 92340 | 2,581 | 2,399 | $36K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 272 | 265 | $8K |
| V2784 | Lens polycarb or equal | 712 | 641 | $8K |
| 92012 | 15 | 13 | $856.86 | |
| 3072F | 98 | 97 | $0.00 |