NPI: 1497052591 · DOTHAN, AL 36301 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,885 | $96K |
| 2019 | 4,703 | $114K |
| 2020 | 4,348 | $100K |
| 2021 | 5,742 | $115K |
| 2022 | 5,695 | $133K |
| 2023 | 5,890 | $130K |
| 2024 | 4,456 | $120K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,416 | 4,152 | $255K | |
| 92004 | 2,462 | 2,278 | $187K | |
| 92340 | 7,393 | 6,884 | $120K | |
| V2020 | Vision svcs frames purchases | 7,712 | 7,187 | $93K |
| V2784 | Lens polycarb or equal | 6,116 | 5,727 | $83K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,368 | 4,106 | $40K |
| 92012 | 367 | 329 | $14K | |
| V2100 | Lens spher single plano 4.00 | 1,789 | 1,700 | $13K |
| S0621 | Routine ophthalmological exa | 36 | 36 | $874.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 60 | 58 | $533.47 |