NPI: 1336332774 · HELENA, AL 35080 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $72.00 |
| 2019 | 255 | $6K |
| 2020 | 549 | $14K |
| 2021 | 904 | $15K |
| 2022 | 378 | $9K |
| 2023 | 906 | $18K |
| 2024 | 628 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 470 | 362 | $28K | |
| 92014 | 305 | 243 | $17K | |
| 92340 | 761 | 618 | $11K | |
| 92015 | 1,371 | 1,142 | $9K | |
| V2020 | Vision svcs frames purchases | 349 | 343 | $5K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 178 | 168 | $3K |
| V2745 | Tint, any color/solid/grad | 42 | 41 | $2K |
| V2784 | Lens polycarb or equal | 159 | 157 | $2K |