NPI: 1558466870 · HAINES CITY, FL 33844 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,053 | $18K |
| 2020 | 274 | $4K |
| 2021 | 634 | $9K |
| 2022 | 1,773 | $21K |
| 2023 | 1,361 | $19K |
| 2024 | 106 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 435 | 404 | $32K | |
| 92004 | 594 | 450 | $31K | |
| V2020 | Vision svcs frames purchases | 1,031 | 834 | $4K |
| 92340 | 560 | 499 | $3K | |
| V2100 | Lens spher single plano 4.00 | 746 | 426 | $2K |
| 92015 | 1,309 | 1,080 | $857.50 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 256 | 220 | $462.50 |
| 2022F | 130 | 103 | $212.18 | |
| V2784 | Lens polycarb or equal | 107 | 59 | $2.50 |
| V2025 | Eyeglasses delux frames | 14 | 13 | $0.00 |
| 92250 | 19 | 17 | $0.00 |