NPI: 1316905169 · HENDERSON, KY 42420 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 155 | $6K |
| 2019 | 211 | $7K |
| 2020 | 787 | $21K |
| 2021 | 98 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 273 | 260 | $13K | |
| 92004 | 118 | 115 | $11K | |
| 92014 | 94 | 93 | $6K | |
| V2020 | Vision svcs frames purchases | 155 | 148 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 80 | 50 | $800.00 |
| V2784 | Lens polycarb or equal | 52 | 52 | $408.00 |
| 92015 | 427 | 402 | $155.00 | |
| V2760 | Scratch resistant coating | 52 | 52 | $103.00 |