NPI: 1629200043 · LAKELAND, FL 33803 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,915 | $18K |
| 2020 | 627 | $5K |
| 2021 | 1,073 | $16K |
| 2022 | 2,797 | $50K |
| 2023 | 2,784 | $52K |
| 2024 | 1,806 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,787 | 1,735 | $67K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,528 | 1,346 | $48K |
| 92004 | 586 | 570 | $35K | |
| V2020 | Vision svcs frames purchases | 1,693 | 1,614 | $10K |
| 92015 | 2,289 | 2,211 | $10K | |
| 92340 | 2,058 | 1,976 | $9K | |
| V2100 | Lens spher single plano 4.00 | 261 | 237 | $8K |
| V2025 | Eyeglasses delux frames | 449 | 429 | $0.00 |
| 2021F | 28 | 28 | $0.00 | |
| V2750 | Anti-reflective coating | 12 | 12 | $0.00 |
| V2784 | Lens polycarb or equal | 197 | 194 | $0.00 |
| V2756 | Eye glass case | 57 | 57 | $0.00 |
| 92342 | 57 | 57 | $0.00 |