NPI: 1558527960 · ANTIOCH, TN 37013 · 152WV0400X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,921 | $69K |
| 2019 | 2,287 | $57K |
| 2020 | 1,727 | $25K |
| 2021 | 714 | $35K |
| 2022 | 689 | $34K |
| 2023 | 651 | $31K |
| 2024 | 562 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,884 | 1,715 | $112K | |
| 92015 | 2,342 | 2,187 | $85K | |
| 92340 | 2,775 | 2,579 | $70K | |
| 92004 | 123 | 118 | $9K | |
| 92012 | 46 | 46 | $2K | |
| V2784 | Lens polycarb or equal | 344 | 331 | $140.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 182 | 176 | $0.00 |
| 92250 | 119 | 63 | $0.00 | |
| V2100 | Lens spher single plano 4.00 | 14 | 13 | $0.00 |
| V2020 | Vision svcs frames purchases | 335 | 322 | $0.00 |
| 2024F | 371 | 335 | $0.00 | |
| 2026F | 16 | 15 | $0.00 |