NPI: 1518945179 · TAMPA, FL 33629 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 32 | $388.96 |
| 2019 | 2,389 | $42K |
| 2020 | 1,496 | $22K |
| 2021 | 1,334 | $27K |
| 2022 | 4,285 | $46K |
| 2023 | 3,082 | $62K |
| 2024 | 2,451 | $59K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,970 | 2,535 | $178K | |
| 92004 | 540 | 418 | $27K | |
| 92015 | 3,772 | 3,162 | $18K | |
| 92340 | 977 | 862 | $15K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 759 | 663 | $4K |
| V2020 | Vision svcs frames purchases | 2,096 | 1,618 | $4K |
| V2755 | Uv lens/es | 466 | 442 | $3K |
| 3072F | 1,899 | 1,430 | $3K | |
| V2025 | Eyeglasses delux frames | 432 | 402 | $2K |
| V2107 | Spherocylinder 4.25d/12-2d | 466 | 401 | $1K |
| V2745 | Tint, any color/solid/grad | 298 | 283 | $730.58 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 76 | 52 | $567.96 |
| V2784 | Lens polycarb or equal | 196 | 137 | $137.48 |
| V2100 | Lens spher single plano 4.00 | 122 | 85 | $0.00 |