NPI: 1356364046 · DERIDDER, LA 70634 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 431 | $12K |
| 2019 | 267 | $4K |
| 2020 | 722 | $18K |
| 2021 | 330 | $8K |
| 2022 | 198 | $4K |
| 2023 | 443 | $17K |
| 2024 | 415 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 451 | 414 | $38K | |
| 92014 | 283 | 269 | $19K | |
| V2020 | Vision svcs frames purchases | 642 | 603 | $11K |
| V2100 | Lens spher single plano 4.00 | 172 | 164 | $3K |
| 99211 | 219 | 205 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 125 | 119 | $2K |
| 92340 | 14 | 14 | $173.04 | |
| 92015 | 871 | 828 | $0.00 | |
| 99072 | 29 | 27 | $0.00 |