NPI: 1316998529 · PALM COAST, FL 32137 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 4,283 | $33K |
| 2020 | 4,112 | $49K |
| 2021 | 575 | $15K |
| 2022 | 1,340 | $38K |
| 2023 | 1,728 | $40K |
| 2024 | 1,554 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,158 | 2,107 | $118K | |
| 92014 | 1,822 | 1,796 | $95K | |
| 92015 | 4,070 | 3,986 | $9K | |
| V2020 | Vision svcs frames purchases | 964 | 946 | $3K |
| 92340 | 1,004 | 984 | $1K | |
| 2022F | 205 | 202 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 747 | 745 | $0.00 |
| V2756 | Eye glass case | 646 | 642 | $0.00 |
| V2784 | Lens polycarb or equal | 224 | 215 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 758 | 488 | $0.00 |
| 92342 | 646 | 642 | $0.00 | |
| V2100 | Lens spher single plano 4.00 | 283 | 169 | $0.00 |
| 3072F | 65 | 65 | $0.00 |