NPI: 1629124250 · BOWLING GREEN, KY 42103 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,104 | $31K |
| 2019 | 66 | $2K |
| 2022 | 1,161 | $32K |
| 2023 | 381 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 480 | 461 | $30K | |
| V2020 | Vision svcs frames purchases | 539 | 519 | $17K |
| 92340 | 328 | 314 | $10K | |
| 92004 | 72 | 71 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 331 | 270 | $5K |
| 99213 | 85 | 70 | $3K | |
| V2784 | Lens polycarb or equal | 317 | 303 | $2K |
| 92250 | 29 | 28 | $1K | |
| 92015 | 503 | 488 | $606.60 | |
| V2715 | Prism lens/es | 28 | 26 | $0.00 |