NPI: 1578762449 · MURRAY, KY 42071 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 75 | $4K |
| 2019 | 53 | $2K |
| 2020 | 529 | $12K |
| 2021 | 836 | $21K |
| 2022 | 34 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 281 | 266 | $16K | |
| V2020 | Vision svcs frames purchases | 207 | 202 | $8K |
| 92004 | 70 | 70 | $6K | |
| 92340 | 113 | 111 | $4K | |
| V2100 | Lens spher single plano 4.00 | 157 | 152 | $3K |
| 92250 | 25 | 24 | $1K | |
| 92015 | 512 | 490 | $970.58 | |
| V2784 | Lens polycarb or equal | 135 | 133 | $582.51 |
| V2760 | Scratch resistant coating | 27 | 25 | $48.00 |