NPI: 1619927118 · PORT ORANGE, FL 32129 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,719 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 3072F | 166 | 166 | $0.00 | |
| 92342 | 181 | 180 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 126 | 63 | $0.00 |
| 92004 | 57 | 57 | $0.00 | |
| V2756 | Eye glass case | 181 | 180 | $0.00 |
| V2020 | Vision svcs frames purchases | 169 | 168 | $0.00 |
| 92015 | 200 | 200 | $0.00 | |
| 92014 | 94 | 94 | $0.00 | |
| 2022F | 198 | 198 | $0.00 | |
| 92340 | 147 | 147 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 200 | 200 | $0.00 |