NPI: 1497331938 · LAKE CITY, FL 32055 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 292 | $7K |
| 2022 | 1,031 | $24K |
| 2023 | 372 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 601 | 502 | $18K |
| S0620 | Routine ophthalmological exa | 491 | 434 | $15K |
| V2020 | Vision svcs frames purchases | 96 | 94 | $3K |
| 92014 | 68 | 68 | $2K | |
| V2100 | Lens spher single plano 4.00 | 72 | 72 | $2K |
| 92310 | 25 | 18 | $875.00 | |
| 92015 | 57 | 46 | $0.00 | |
| 92250 | 259 | 156 | $0.00 | |
| 92004 | 26 | 21 | $0.00 |