NPI: 1366623787 · LEHIGH ACRES, FL 33971 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 636 | $9K |
| 2020 | 379 | $8K |
| 2021 | 2,165 | $33K |
| 2022 | 5,320 | $80K |
| 2023 | 1,383 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,152 | 1,093 | $101K | |
| V2020 | Vision svcs frames purchases | 2,011 | 1,307 | $24K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 771 | 508 | $12K |
| 92004 | 82 | 73 | $7K | |
| 92340 | 1,904 | 1,258 | $5K | |
| 92015 | 1,369 | 1,295 | $2K | |
| V2100 | Lens spher single plano 4.00 | 860 | 554 | $2K |
| V2784 | Lens polycarb or equal | 1,706 | 1,041 | $194.38 |
| 92310 | 28 | 28 | $85.00 |