NPI: 1538544333 · HAINES CITY, FL 33844 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 182 | $2K |
| 2020 | 149 | $591.80 |
| 2021 | 480 | $6K |
| 2022 | 2,097 | $31K |
| 2023 | 1,205 | $16K |
| 2024 | 498 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 471 | 457 | $27K | |
| V2020 | Vision svcs frames purchases | 1,060 | 781 | $24K |
| 92004 | 118 | 114 | $7K | |
| 92340 | 1,016 | 754 | $4K | |
| 92015 | 889 | 866 | $2K | |
| V2100 | Lens spher single plano 4.00 | 959 | 704 | $2K |
| V2784 | Lens polycarb or equal | 69 | 64 | $25.00 |
| V2750 | Anti-reflective coating | 29 | 26 | $0.00 |