NPI: 1336247816 · OXFORD, MS 38655 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,415 | $47K |
| 2019 | 1,029 | $34K |
| 2020 | 669 | $17K |
| 2021 | 307 | $7K |
| 2022 | 201 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 983 | 920 | $31K | |
| V2020 | Vision svcs frames purchases | 980 | 904 | $31K |
| 92012 | 349 | 331 | $23K | |
| 92340 | 782 | 730 | $11K | |
| V2100 | Lens spher single plano 4.00 | 255 | 237 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 196 | 174 | $5K |
| 92002 | 25 | 25 | $2K | |
| V2784 | Lens polycarb or equal | 51 | 50 | $0.00 |