NPI: 1457300261 · RUSTON, LA 71270 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29 | $488.48 |
| 2019 | 826 | $15K |
| 2020 | 549 | $8K |
| 2021 | 245 | $2K |
| 2022 | 362 | $4K |
| 2023 | 401 | $2K |
| 2024 | 516 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 141 | 138 | $12K | |
| V2020 | Vision svcs frames purchases | 722 | 636 | $11K |
| 92014 | 90 | 83 | $6K | |
| 99211 | 445 | 422 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 259 | 220 | $4K |
| 92015 | 534 | 485 | $2K | |
| 92340 | 81 | 58 | $704.52 | |
| 92250 | 522 | 468 | $391.08 | |
| V2799 | Misc vision item or service | 19 | 14 | $88.92 |
| 92025 | 61 | 58 | $20.65 | |
| 92082 | 54 | 51 | $0.00 |