NPI: 1538822861 · WINTER GARDEN, FL 34787 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,099 | $18K |
| 2024 | 3,347 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 496 | 452 | $27K | |
| 92004 | 308 | 268 | $16K | |
| V2020 | Vision svcs frames purchases | 736 | 657 | $8K |
| 92015 | 829 | 742 | $7K | |
| 92340 | 633 | 563 | $5K | |
| V2100 | Lens spher single plano 4.00 | 331 | 279 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 212 | 208 | $998.48 |
| V2784 | Lens polycarb or equal | 81 | 72 | $195.77 |
| 92250 | 820 | 734 | $0.00 |