NPI: 1396776340 · HIALEAH, FL 33012 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 716 | $12K |
| 2020 | 303 | $3K |
| 2021 | 917 | $16K |
| 2022 | 3,473 | $69K |
| 2023 | 2,449 | $60K |
| 2024 | 1,780 | $49K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,490 | 1,355 | $92K | |
| 92004 | 587 | 564 | $37K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,024 | 952 | $24K |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 330 | 312 | $24K |
| V2020 | Vision svcs frames purchases | 1,871 | 1,753 | $15K |
| V2784 | Lens polycarb or equal | 579 | 541 | $5K |
| 92015 | 2,037 | 1,952 | $4K | |
| 92340 | 1,467 | 1,388 | $4K | |
| V2100 | Lens spher single plano 4.00 | 139 | 132 | $3K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 26 | 24 | $602.25 |
| 92250 | 33 | 24 | $476.76 | |
| 99072 | 43 | 39 | $0.00 | |
| V2750 | Anti-reflective coating | 12 | 12 | $0.00 |