NPI: 1629260849 · MIAMI LAKES, FL 33016 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 180 | $4K |
| 2020 | 67 | $1K |
| 2021 | 28 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 80 | 74 | $5K | |
| 99204 | 28 | 28 | $3K | |
| V2025 | Eyeglasses delux frames | 35 | 32 | $397.50 |
| 92340 | 14 | 14 | $45.34 | |
| 92015 | 14 | 14 | $14.94 | |
| V2755 | Uv lens/es | 27 | 24 | $12.00 |
| V2100 | Lens spher single plano 4.00 | 13 | 12 | $0.00 |
| V2784 | Lens polycarb or equal | 24 | 24 | $0.00 |
| V2750 | Anti-reflective coating | 13 | 13 | $0.00 |
| G0117 | Glaucoma scrn hgh risk direc | 13 | 13 | $0.00 |
| 2022F | 14 | 13 | $0.00 |