NPI: 1366825176 · KISSIMMEE, FL 34759 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 455 | $5K |
| 2021 | 2,123 | $24K |
| 2022 | 3,356 | $64K |
| 2023 | 2,426 | $46K |
| 2024 | 2,200 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,197 | 1,088 | $67K | |
| V2020 | Vision svcs frames purchases | 2,242 | 1,774 | $59K |
| 92004 | 681 | 600 | $37K | |
| 92340 | 2,172 | 1,694 | $8K | |
| V2100 | Lens spher single plano 4.00 | 2,102 | 1,639 | $6K |
| 92015 | 2,072 | 1,871 | $5K | |
| V2200 | Lens spher bifoc plano 4.00d | 14 | 14 | $303.52 |
| V2784 | Lens polycarb or equal | 31 | 27 | $0.00 |
| G8428 | Cur meds not document | 14 | 14 | $0.00 |
| G8785 | Bp scrn no perf at interval | 20 | 19 | $0.00 |
| V2750 | Anti-reflective coating | 15 | 12 | $0.00 |