NPI: 1548296486 · DAYTONA BEACH, FL 32114 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13,406 | $75K |
| 2020 | 7,482 | $59K |
| 2021 | 2,784 | $75K |
| 2022 | 6,111 | $177K |
| 2023 | 5,894 | $170K |
| 2024 | 5,114 | $144K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 6,759 | 6,538 | $313K |
| 92014 | 4,241 | 4,104 | $218K | |
| 92004 | 2,698 | 2,636 | $122K | |
| 92340 | 6,504 | 6,286 | $21K | |
| 92015 | 6,998 | 6,790 | $15K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,825 | 3,946 | $9K |
| V2100 | Lens spher single plano 4.00 | 1,345 | 956 | $1K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 124 | 111 | $636.18 |
| 3072F | 655 | 652 | $234.36 | |
| V2520 | Contact lens hydrophilic | 12 | 12 | $230.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 289 | 169 | $52.32 |
| 92341 | 293 | 290 | $30.00 | |
| V2107 | Spherocylinder 4.25d/12-2d | 13 | 12 | $24.36 |
| 92342 | 1,618 | 1,598 | $0.00 | |
| V2756 | Eye glass case | 1,616 | 1,597 | $0.00 |
| V2755 | Uv lens/es | 70 | 70 | $0.00 |
| V2784 | Lens polycarb or equal | 13 | 12 | $0.00 |
| 2022F | 1,243 | 1,241 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 1,475 | 1,475 | $0.00 |