NPI: 1417185364 · GAINESVILLE, FL 32605 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 778 | $15K |
| 2024 | 519 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 173 | 172 | $14K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 230 | 226 | $4K |
| V2020 | Vision svcs frames purchases | 266 | 262 | $2K |
| 92340 | 232 | 228 | $1K | |
| 92015 | 173 | 172 | $1K | |
| V2520 | Contact lens hydrophilic | 13 | 12 | $900.00 |
| V2784 | Lens polycarb or equal | 157 | 155 | $340.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 20 | 20 | $217.64 |
| 92310 | 14 | 14 | $35.00 | |
| 92341 | 19 | 19 | $0.00 |