NPI: 1457416380 · PINELLAS PARK, FL 33781 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 203 | $281.50 |
| 2020 | 352 | $4K |
| 2021 | 662 | $8K |
| 2022 | 2,116 | $33K |
| 2023 | 1,938 | $31K |
| 2024 | 1,167 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,017 | 960 | $36K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 775 | 725 | $32K |
| 92004 | 238 | 221 | $15K | |
| V2020 | Vision svcs frames purchases | 1,194 | 1,111 | $9K |
| 92015 | 1,664 | 1,571 | $6K | |
| 92340 | 1,224 | 1,136 | $6K | |
| V2100 | Lens spher single plano 4.00 | 42 | 41 | $850.00 |
| V2784 | Lens polycarb or equal | 108 | 105 | $5.00 |
| V2025 | Eyeglasses delux frames | 176 | 171 | $0.00 |