NPI: 1649227810 · BRADENTON, FL 34207 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 118 | $594.47 |
| 2020 | 64 | $2K |
| 2021 | 238 | $5K |
| 2022 | 1,093 | $27K |
| 2023 | 1,405 | $30K |
| 2024 | 1,272 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 845 | 817 | $47K | |
| V2020 | Vision svcs frames purchases | 995 | 962 | $34K |
| 92014 | 97 | 91 | $4K | |
| 92015 | 1,030 | 1,002 | $4K | |
| 92340 | 417 | 402 | $3K | |
| V2100 | Lens spher single plano 4.00 | 398 | 371 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 46 | 43 | $146.16 |
| V2784 | Lens polycarb or equal | 318 | 306 | $70.34 |
| V2200 | Lens spher bifoc plano 4.00d | 29 | 28 | $30.66 |
| 92341 | 15 | 14 | $0.00 |