NPI: 1629476684 · TUPELO, MS 38804 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 510 | $9K |
| 2019 | 686 | $13K |
| 2020 | 2,498 | $36K |
| 2021 | 3,109 | $41K |
| 2022 | 2,133 | $39K |
| 2023 | 959 | $9K |
| 2024 | 1,045 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,161 | 3,691 | $83K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,511 | 2,227 | $50K |
| V2100 | Lens spher single plano 4.00 | 632 | 547 | $13K |
| V2784 | Lens polycarb or equal | 3,195 | 2,836 | $8K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 114 | 93 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 22 | 18 | $585.04 |
| V2750 | Anti-reflective coating | 100 | 67 | $394.09 |
| V2107 | Spherocylinder 4.25d/12-2d | 15 | 12 | $309.77 |
| V2799 | Misc vision item or service | 148 | 131 | $0.00 |
| V2025 | Eyeglasses delux frames | 12 | 12 | $0.00 |
| V2760 | Scratch resistant coating | 30 | 30 | $0.00 |