NPI: 1659687069 · OCALA, FL 34474 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 651 | $3K |
| 2020 | 99 | $303.00 |
| 2021 | 291 | $6K |
| 2022 | 259 | $5K |
| 2023 | 973 | $17K |
| 2024 | 757 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 282 | 274 | $16K | |
| V2020 | Vision svcs frames purchases | 689 | 593 | $15K |
| 92014 | 110 | 106 | $6K | |
| 92340 | 560 | 473 | $3K | |
| 92015 | 690 | 670 | $2K | |
| V2100 | Lens spher single plano 4.00 | 422 | 339 | $1K |
| 92342 | 76 | 76 | $43.36 | |
| 3072F | 19 | 19 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 24 | 24 | $0.00 |
| V2756 | Eye glass case | 75 | 75 | $0.00 |
| 2022F | 70 | 70 | $0.00 | |
| G8785 | Bp scrn no perf at interval | 13 | 13 | $0.00 |