NPI: 1336213180 · PONTE VEDRA BEACH, FL 32082 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 458 | $517.20 |
| 2020 | 1,301 | $12K |
| 2021 | 657 | $8K |
| 2022 | 3,409 | $68K |
| 2023 | 1,148 | $16K |
| 2024 | 554 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 893 | 811 | $42K | |
| V2020 | Vision svcs frames purchases | 1,140 | 972 | $20K |
| V2100 | Lens spher single plano 4.00 | 1,018 | 773 | $19K |
| V2784 | Lens polycarb or equal | 494 | 394 | $18K |
| 92004 | 199 | 179 | $11K | |
| 92340 | 1,247 | 1,063 | $3K | |
| 92015 | 1,705 | 1,540 | $2K | |
| V2756 | Eye glass case | 194 | 193 | $0.00 |
| 92342 | 228 | 227 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 24 | 12 | $0.00 |
| 2022F | 141 | 136 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 231 | 231 | $0.00 |
| V2025 | Eyeglasses delux frames | 13 | 13 | $0.00 |