NPI: 1346209236 · ZACHARY, LA 70791 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,224 | $133K |
| 2019 | 498 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 376 | 354 | $31K | |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 205 | 145 | $28K |
| 92014 | 358 | 322 | $24K | |
| V2025 | Eyeglasses delux frames | 341 | 303 | $21K |
| 99211 | 990 | 888 | $12K | |
| V2020 | Vision svcs frames purchases | 643 | 579 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 552 | 485 | $9K |
| V2760 | Scratch resistant coating | 577 | 482 | $8K |
| V2745 | Tint, any color/solid/grad | 577 | 482 | $5K |
| V2100 | Lens spher single plano 4.00 | 103 | 97 | $2K |