NPI: 1336611557 · FORT THOMAS, KY 41075 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 872 | $33K |
| 2023 | 421 | $15K |
| 2024 | 459 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 472 | 459 | $27K | |
| 92014 | 318 | 313 | $22K | |
| V2020 | Vision svcs frames purchases | 268 | 137 | $990.00 |
| 92015 | 424 | 419 | $465.06 | |
| S0516 | Safety frames | 17 | 17 | $271.66 |
| V2784 | Lens polycarb or equal | 128 | 64 | $204.00 |
| S0504 | Singl prscrp lens | 17 | 17 | $162.32 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 30 | 15 | $150.00 |
| S9999 | Sales tax | 78 | 78 | $135.78 |