NPI: 1497211783 · ARKADELPHIA, AR 71923 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 226 | $5K |
| 2020 | 106 | $4K |
| 2022 | 401 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 150 | 143 | $6K | |
| S0621 | Routine ophthalmological exa | 147 | 140 | $6K |
| S0620 | Routine ophthalmological exa | 100 | 100 | $5K |
| 92015 | 68 | 67 | $2K | |
| V2020 | Vision svcs frames purchases | 24 | 24 | $0.00 |
| V2025 | Eyeglasses delux frames | 33 | 33 | $0.00 |
| V2784 | Lens polycarb or equal | 57 | 57 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 43 | 41 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 111 | 63 | $0.00 |