NPI: 1568017770 · KAUNAKAKAI, HI 96748 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 303 | $12K |
| 2021 | 463 | $16K |
| 2022 | 412 | $15K |
| 2023 | 646 | $28K |
| 2024 | 457 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 452 | 419 | $31K |
| 92014 | 312 | 293 | $22K | |
| V2784 | Lens polycarb or equal | 343 | 321 | $19K |
| 92004 | 128 | 126 | $10K | |
| 92015 | 933 | 820 | $10K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 26 | 25 | $1K |
| 92250 | 46 | 41 | $1K | |
| V2100 | Lens spher single plano 4.00 | 41 | 37 | $712.36 |