NPI: 1477004729 · WINTER GARDEN, FL 34787 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,376 | $34K |
| 2020 | 1,436 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 548 | 536 | $34K | |
| 92004 | 284 | 281 | $17K | |
| 92340 | 696 | 676 | $3K | |
| V2020 | Vision svcs frames purchases | 723 | 701 | $806.00 |
| 92015 | 749 | 726 | $96.50 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 435 | 363 | $11.00 |
| V2025 | Eyeglasses delux frames | 39 | 39 | $0.00 |
| 2021F | 39 | 39 | $0.00 | |
| V2100 | Lens spher single plano 4.00 | 142 | 104 | $0.00 |
| V2756 | Eye glass case | 72 | 72 | $0.00 |
| 92342 | 73 | 72 | $0.00 | |
| V2784 | Lens polycarb or equal | 12 | 12 | $0.00 |