NPI: 1467638650 · COLUMBIA, TN 38401 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,391 | $51K |
| 2019 | 2,572 | $52K |
| 2020 | 481 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 1,172 | 1,166 | $42K | |
| 92014 | 551 | 549 | $33K | |
| 92340 | 816 | 814 | $27K | |
| 92004 | 151 | 147 | $10K | |
| V2784 | Lens polycarb or equal | 882 | 880 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 397 | 396 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 13 | 13 | $0.00 |
| V2020 | Vision svcs frames purchases | 1,128 | 1,120 | $0.00 |
| 2024F | 334 | 334 | $0.00 |