NPI: 1649289539 · SUMTER, SC 29150 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 243 | $3K |
| 2019 | 660 | $10K |
| 2020 | 1,401 | $29K |
| 2021 | 2,433 | $34K |
| 2022 | 2,503 | $39K |
| 2023 | 898 | $20K |
| 2024 | 1,117 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 936 | 933 | $49K | |
| 92340 | 1,905 | 1,888 | $37K | |
| 92004 | 376 | 376 | $21K | |
| 92015 | 1,869 | 1,859 | $19K | |
| V2020 | Vision svcs frames purchases | 1,065 | 1,061 | $11K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,094 | 714 | $9K |
| V2784 | Lens polycarb or equal | 1,777 | 1,062 | $5K |
| V2760 | Scratch resistant coating | 198 | 168 | $2K |
| 99213 | 18 | 14 | $698.75 | |
| 92250 | 17 | 16 | $602.61 |