NPI: 1407087885 · PADUCAH, KY 42003 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,692 | $66K |
| 2019 | 181 | $5K |
| 2020 | 12 | $242.64 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 359 | 350 | $24K | |
| 92004 | 244 | 243 | $23K | |
| V2020 | Vision svcs frames purchases | 251 | 242 | $8K |
| 92340 | 233 | 227 | $7K | |
| 92015 | 353 | 339 | $5K | |
| V2784 | Lens polycarb or equal | 170 | 161 | $1K |
| V2100 | Lens spher single plano 4.00 | 58 | 53 | $1K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 52 | 51 | $1K |
| 92002 | 19 | 19 | $986.89 | |
| V2760 | Scratch resistant coating | 146 | 141 | $455.00 |