NPI: 1659591626 · INDIAN LAND, SC 29707 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,293 | $1K |
| 2019 | 3,632 | $33K |
| 2020 | 1,264 | $11K |
| 2021 | 1,375 | $9K |
| 2022 | 2,496 | $5K |
| 2023 | 1,705 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 2,917 | 2,217 | $18K | |
| 92014 | 1,868 | 1,526 | $12K | |
| 92012 | 2,995 | 2,506 | $12K | |
| 92004 | 916 | 785 | $10K | |
| V2020 | Vision svcs frames purchases | 378 | 370 | $9K |
| 68761 | 3,218 | 1,394 | $806.68 | |
| 92341 | 92 | 90 | $282.65 | |
| 92226 | 499 | 458 | $156.77 | |
| 92340 | 30 | 28 | $150.00 | |
| 92202 | 563 | 464 | $53.06 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 39 | 39 | $47.66 |
| V2780 | Oversize lens/es | 215 | 213 | $34.00 |
| 92225 | 18 | 18 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 17 | 15 | $0.00 |