NPI: 1396808259 · CLARKSDALE, MS 38614 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,484 | $138K |
| 2019 | 3,185 | $123K |
| 2020 | 2,272 | $70K |
| 2021 | 323 | $11K |
| 2022 | 662 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 937 | 903 | $89K | |
| V2020 | Vision svcs frames purchases | 2,321 | 2,003 | $74K |
| V2100 | Lens spher single plano 4.00 | 1,796 | 1,541 | $62K |
| 92012 | 645 | 588 | $42K | |
| 92015 | 1,954 | 1,775 | $40K | |
| 92340 | 1,843 | 1,599 | $25K | |
| 92004 | 223 | 210 | $22K | |
| V2200 | Lens spher bifoc plano 4.00d | 60 | 58 | $3K |
| 92100 | 102 | 89 | $2K | |
| 92341 | 45 | 43 | $575.12 |