NPI: 1477211688 · WINTER HAVEN, FL 33880 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,953 | $41K |
| 2023 | 4,112 | $73K |
| 2024 | 3,430 | $84K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,576 | 1,462 | $56K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,017 | 944 | $42K |
| 92004 | 583 | 544 | $35K | |
| V2100 | Lens spher single plano 4.00 | 479 | 439 | $18K |
| 92015 | 2,202 | 2,047 | $16K | |
| V2020 | Vision svcs frames purchases | 1,270 | 1,158 | $16K |
| 92340 | 1,625 | 1,505 | $14K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 16 | 14 | $973.50 |
| V2025 | Eyeglasses delux frames | 611 | 558 | $0.00 |
| V2784 | Lens polycarb or equal | 116 | 111 | $0.00 |