NPI: 1386059566 · BOYNTON BEACH, FL 33436 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 49 | $2K |
| 2019 | 1,811 | $35K |
| 2020 | 1,710 | $30K |
| 2021 | 236 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 533 | 481 | $31K | |
| 92004 | 544 | 462 | $30K | |
| V2020 | Vision svcs frames purchases | 406 | 340 | $5K |
| V2025 | Eyeglasses delux frames | 178 | 144 | $2K |
| 92340 | 709 | 593 | $646.48 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 427 | 358 | $327.44 |
| 92015 | 582 | 568 | $67.18 | |
| V2100 | Lens spher single plano 4.00 | 67 | 62 | $30.00 |
| V2784 | Lens polycarb or equal | 345 | 311 | $23.50 |
| V2750 | Anti-reflective coating | 15 | 15 | $0.00 |