NPI: 1558742585 · BAKER, LA 70714 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,210 | $24K |
| 2019 | 695 | $28K |
| 2020 | 218 | $4K |
| 2021 | 1,346 | $28K |
| 2022 | 1,380 | $21K |
| 2023 | 2,782 | $45K |
| 2024 | 1,471 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 800 | 602 | $57K | |
| V2020 | Vision svcs frames purchases | 3,031 | 2,220 | $42K |
| 92014 | 660 | 537 | $40K | |
| V2100 | Lens spher single plano 4.00 | 1,390 | 922 | $25K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 628 | 598 | $17K |
| 92340 | 483 | 464 | $5K | |
| V2799 | Misc vision item or service | 404 | 403 | $3K |
| V2025 | Eyeglasses delux frames | 143 | 104 | $3K |
| V2760 | Scratch resistant coating | 45 | 31 | $460.62 |
| 99211 | 309 | 212 | $0.00 | |
| 92015 | 1,209 | 1,005 | $0.00 |