NPI: 1457345373 · MIRAMAR, FL 33027 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $0.00 |
| 2019 | 831 | $14K |
| 2020 | 61 | $2K |
| 2023 | 39 | $530.00 |
| 2024 | 13 | $105.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 201 | 198 | $8K | |
| 92004 | 200 | 198 | $7K | |
| V2025 | Eyeglasses delux frames | 78 | 78 | $1K |
| 92002 | 12 | 12 | $530.00 | |
| 92015 | 222 | 220 | $122.74 | |
| V2020 | Vision svcs frames purchases | 114 | 114 | $58.02 |
| 92340 | 30 | 30 | $0.00 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 17 | 12 | $0.00 |
| V2784 | Lens polycarb or equal | 48 | 48 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 34 | 26 | $0.00 |