NPI: 1386378370 · LAKELAND, FL 33809 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,373 | $41K |
| 2024 | 1,973 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 606 | 520 | $28K |
| 92014 | 784 | 685 | $22K | |
| V2020 | Vision svcs frames purchases | 630 | 537 | $9K |
| 92015 | 1,014 | 877 | $8K | |
| 92004 | 193 | 157 | $8K | |
| 92340 | 801 | 676 | $7K | |
| V2100 | Lens spher single plano 4.00 | 62 | 46 | $3K |
| V2025 | Eyeglasses delux frames | 256 | 228 | $0.00 |