NPI: 1396224721 · MANDEVILLE, LA 70471 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,760 | $71K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 449 | 424 | $31K | |
| 92004 | 189 | 175 | $15K | |
| V2100 | Lens spher single plano 4.00 | 442 | 416 | $11K |
| V2020 | Vision svcs frames purchases | 612 | 559 | $8K |
| 99211 | 261 | 255 | $3K | |
| V2799 | Misc vision item or service | 123 | 117 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 15 | 13 | $904.77 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 14 | 14 | $297.30 |
| 92015 | 655 | 587 | $0.00 |