NPI: 1568029312 · SALISBURY, NC 28144 · 390200000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 459 | $20K |
| 2022 | 2,263 | $64K |
| 2023 | 2,938 | $62K |
| 2024 | 2,367 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,206 | 1,094 | $75K | |
| 92004 | 950 | 889 | $67K | |
| V2020 | Vision svcs frames purchases | 1,454 | 1,369 | $46K |
| 92015 | 1,872 | 1,720 | $8K | |
| 92340 | 1,109 | 1,049 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,378 | 832 | $2K |
| 92341 | 12 | 12 | $180.00 | |
| V2025 | Eyeglasses delux frames | 14 | 14 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 20 | 13 | $0.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $0.00 |