NPI: 1487744686 · MCCOMB, MS 39648 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,145 | $36K |
| 2019 | 1,360 | $51K |
| 2020 | 1,317 | $49K |
| 2021 | 1,767 | $56K |
| 2022 | 2,366 | $71K |
| 2023 | 1,293 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,641 | 2,424 | $104K | |
| 92004 | 1,050 | 985 | $69K | |
| 92012 | 2,178 | 1,958 | $66K | |
| V2020 | Vision svcs frames purchases | 869 | 753 | $22K |
| 92340 | 1,011 | 917 | $20K | |
| 92002 | 269 | 262 | $17K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 152 | 127 | $3K |
| 92136 | 379 | 311 | $2K | |
| 92341 | 40 | 38 | $1K | |
| 92083 | 15 | 12 | $1K | |
| 92133 | 143 | 128 | $539.77 | |
| 76514 | 181 | 160 | $235.42 | |
| 3072F | 320 | 319 | $0.00 |