NPI: 1629639067 · KISSIMMEE, FL 34759 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 867 | $16K |
| 2022 | 4,577 | $66K |
| 2023 | 2,693 | $55K |
| 2024 | 1,769 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,107 | 1,027 | $62K | |
| V2020 | Vision svcs frames purchases | 2,007 | 1,526 | $56K |
| 92004 | 702 | 641 | $40K | |
| 92015 | 1,947 | 1,792 | $5K | |
| V2100 | Lens spher single plano 4.00 | 1,896 | 1,441 | $4K |
| 92340 | 1,919 | 1,462 | $4K | |
| V2784 | Lens polycarb or equal | 190 | 162 | $20.00 |
| V2750 | Anti-reflective coating | 126 | 103 | $0.00 |
| G8785 | Bp scrn no perf at interval | 12 | 12 | $0.00 |