NPI: 1427002864 · GULFPORT, MS 39501 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 725 | $40K |
| 2019 | 648 | $39K |
| 2020 | 511 | $23K |
| 2021 | 706 | $28K |
| 2023 | 622 | $27K |
| 2024 | 688 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 558 | 544 | $65K | |
| 92014 | 490 | 471 | $41K | |
| 92015 | 1,250 | 1,225 | $40K | |
| 92340 | 772 | 759 | $17K | |
| V2020 | Vision svcs frames purchases | 483 | 476 | $16K |
| 92012 | 156 | 146 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 166 | 135 | $4K |
| V2784 | Lens polycarb or equal | 12 | 12 | $228.00 |
| 92133 | 13 | 12 | $185.96 |