NPI: 1396723219 · MIAMI, FL 33186 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24 | $74.69 |
| 2019 | 1,113 | $9K |
| 2020 | 368 | $5K |
| 2022 | 46 | $1K |
| 2023 | 30 | $639.85 |
| 2024 | 76 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 313 | 309 | $9K | |
| 92250 | 69 | 68 | $4K | |
| 92004 | 94 | 94 | $2K | |
| 92340 | 244 | 236 | $2K | |
| 92015 | 351 | 343 | $307.01 | |
| V2020 | Vision svcs frames purchases | 197 | 192 | $243.62 |
| V2756 | Eye glass case | 67 | 67 | $0.00 |
| 92342 | 68 | 68 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 70 | 47 | $0.00 |
| V2784 | Lens polycarb or equal | 12 | 12 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 14 | 12 | $0.00 |
| G0117 | Glaucoma scrn hgh risk direc | 158 | 158 | $0.00 |