NPI: 1346215274 · BOGALUSA, LA 70427 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 533 | $38K |
| 2019 | 945 | $33K |
| 2020 | 1,125 | $37K |
| 2021 | 934 | $33K |
| 2022 | 399 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 513 | 495 | $35K | |
| V2020 | Vision svcs frames purchases | 780 | 748 | $25K |
| 92014 | 335 | 330 | $24K | |
| 92015 | 1,181 | 1,149 | $23K | |
| 92004 | 181 | 177 | $15K | |
| 92002 | 209 | 208 | $14K | |
| V2100 | Lens spher single plano 4.00 | 205 | 198 | $7K |
| 92340 | 390 | 372 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 142 | 141 | $4K |