NPI: 1487061925 · FLORENCE, SC 29501 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,355 | $31K |
| 2019 | 490 | $16K |
| 2020 | 255 | $9K |
| 2021 | 448 | $14K |
| 2022 | 827 | $29K |
| 2023 | 1,683 | $42K |
| 2024 | 1,432 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,611 | 1,611 | $102K | |
| 92015 | 2,427 | 2,427 | $27K | |
| 92014 | 378 | 378 | $22K | |
| 92340 | 550 | 545 | $11K | |
| V2020 | Vision svcs frames purchases | 550 | 545 | $9K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 372 | 368 | $5K |
| V2784 | Lens polycarb or equal | 548 | 543 | $3K |
| V2199 | Lens single vision not oth c | 12 | 12 | $636.00 |
| 3072F | 42 | 42 | $420.00 |