NPI: 1538473012 · ELIZABETHTOWN, KY 42701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,202 | $42K |
| 2019 | 840 | $23K |
| 2020 | 651 | $17K |
| 2021 | 67 | $1K |
| 2022 | 224 | $4K |
| 2023 | 78 | $1K |
| 2024 | 346 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 591 | 585 | $41K | |
| V2020 | Vision svcs frames purchases | 663 | 631 | $17K |
| 92012 | 321 | 311 | $14K | |
| 92002 | 180 | 176 | $9K | |
| V2100 | Lens spher single plano 4.00 | 307 | 294 | $8K |
| 92004 | 86 | 85 | $8K | |
| 92340 | 247 | 242 | $8K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 159 | 112 | $2K |
| V2784 | Lens polycarb or equal | 216 | 210 | $1K |
| 92015 | 638 | 614 | $20.22 |