NPI: 1467856443 · BRANDON, FL 33511 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 3,524 | $79K |
| 2024 | 2,680 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 791 | 730 | $44K |
| 92014 | 1,063 | 988 | $36K | |
| V2020 | Vision svcs frames purchases | 991 | 909 | $20K |
| 92004 | 339 | 316 | $17K | |
| 92015 | 1,444 | 1,343 | $14K | |
| 92340 | 1,140 | 1,053 | $12K | |
| V2100 | Lens spher single plano 4.00 | 121 | 110 | $5K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 56 | 54 | $3K |
| V2025 | Eyeglasses delux frames | 259 | 241 | $0.00 |