NPI: 1407957368 · CULLMAN, AL 35055 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,923 | $32K |
| 2019 | 1,122 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 212 | 207 | $12K | |
| V2020 | Vision svcs frames purchases | 477 | 436 | $11K |
| 92340 | 480 | 439 | $8K | |
| 92004 | 95 | 93 | $7K | |
| V2784 | Lens polycarb or equal | 952 | 441 | $7K |
| 92015 | 472 | 460 | $4K | |
| V2100 | Lens spher single plano 4.00 | 193 | 187 | $3.70 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 164 | 140 | $3.05 |