NPI: 1578099339 · DAYTONA BEACH, FL 32114 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 4,540 | $19K |
| 2020 | 1,726 | $4K |
| 2021 | 650 | $18K |
| 2022 | 1,530 | $44K |
| 2023 | 1,592 | $46K |
| 2024 | 1,127 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,779 | 1,679 | $80K |
| 92014 | 1,061 | 1,031 | $43K | |
| 92004 | 695 | 670 | $27K | |
| 92340 | 1,740 | 1,629 | $5K | |
| 92015 | 2,083 | 2,007 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,123 | 846 | $2K |
| 3072F | 206 | 205 | $0.00 | |
| V2756 | Eye glass case | 563 | 535 | $0.00 |
| 92342 | 563 | 535 | $0.00 | |
| V2100 | Lens spher single plano 4.00 | 242 | 128 | $0.00 |
| V2784 | Lens polycarb or equal | 24 | 14 | $0.00 |
| 2022F | 520 | 520 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 539 | 539 | $0.00 |
| 92341 | 27 | 27 | $0.00 |