NPI: 1629179791 · GREENVILLE, MS 38701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,645 | $43K |
| 2019 | 1,566 | $42K |
| 2020 | 1,025 | $21K |
| 2021 | 1,140 | $22K |
| 2022 | 537 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,269 | 1,233 | $44K |
| 92014 | 396 | 386 | $34K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 626 | 606 | $16K |
| 92015 | 1,107 | 1,083 | $15K | |
| 92340 | 1,064 | 1,038 | $13K | |
| 92004 | 57 | 57 | $7K | |
| 92012 | 72 | 70 | $5K | |
| 92002 | 15 | 13 | $878.15 | |
| V2100 | Lens spher single plano 4.00 | 30 | 28 | $700.76 |
| 99213 | 13 | 13 | $319.19 | |
| V2755 | Uv lens/es | 1,264 | 1,231 | $0.00 |