NPI: 1548458102 · MAITLAND, FL 32751 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,676 | $35K |
| 2020 | 1,587 | $32K |
| 2021 | 2,790 | $52K |
| 2022 | 7,249 | $120K |
| 2023 | 6,242 | $121K |
| 2024 | 3,582 | $86K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,659 | 3,500 | $168K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,110 | 2,966 | $103K |
| 92004 | 1,067 | 1,024 | $77K | |
| V2100 | Lens spher single plano 4.00 | 882 | 837 | $23K |
| V2020 | Vision svcs frames purchases | 3,026 | 2,883 | $19K |
| 92340 | 4,255 | 4,055 | $19K | |
| 92015 | 4,600 | 4,421 | $17K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 219 | 194 | $8K |
| V2599 | Contact lens/es other type | 60 | 57 | $8K |
| V2107 | Spherocylinder 4.25d/12-2d | 71 | 67 | $2K |
| 92341 | 16 | 13 | $14.50 | |
| V2784 | Lens polycarb or equal | 341 | 317 | $0.00 |
| 92310 | 60 | 57 | $0.00 | |
| V2750 | Anti-reflective coating | 212 | 194 | $0.00 |
| V2025 | Eyeglasses delux frames | 1,548 | 1,476 | $-116.00 |