NPI: 1467861484 · MADISON, MS 39110 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,674 | $69K |
| 2019 | 1,271 | $57K |
| 2020 | 731 | $27K |
| 2021 | 915 | $26K |
| 2022 | 520 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 538 | 532 | $54K | |
| 92015 | 1,351 | 1,291 | $51K | |
| V2020 | Vision svcs frames purchases | 1,297 | 1,248 | $44K |
| 92340 | 1,099 | 1,059 | $17K | |
| 92012 | 178 | 172 | $12K | |
| 92004 | 51 | 51 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 157 | 156 | $5K |
| V2100 | Lens spher single plano 4.00 | 104 | 100 | $4K |
| V2784 | Lens polycarb or equal | 336 | 329 | $0.00 |