NPI: 1558431163 · BAY ST LOUIS, MS 39520 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 676 | $0.00 |
| 2019 | 1,401 | $22K |
| 2020 | 1,473 | $45K |
| 2021 | 2,861 | $73K |
| 2022 | 987 | $37K |
| 2023 | 551 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 971 | 767 | $63K | |
| V2020 | Vision svcs frames purchases | 1,506 | 1,160 | $29K |
| 92015 | 1,674 | 1,338 | $25K | |
| 92340 | 1,435 | 1,107 | $19K | |
| V2100 | Lens spher single plano 4.00 | 975 | 720 | $19K |
| V2784 | Lens polycarb or equal | 788 | 567 | $17K |
| 92004 | 179 | 126 | $10K | |
| 92250 | 370 | 269 | $9K | |
| V2410 | Lens variab asphericity sing | 51 | 37 | $3K |