NPI: 1659722874 · LEESBURG, FL 34788 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,101 | $9K |
| 2020 | 122 | $368.50 |
| 2021 | 188 | $2K |
| 2022 | 1,427 | $20K |
| 2023 | 1,910 | $28K |
| 2024 | 1,430 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,115 | 1,008 | $36K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 923 | 759 | $24K |
| 92015 | 1,383 | 1,233 | $7K | |
| 92340 | 1,290 | 1,152 | $6K | |
| V2020 | Vision svcs frames purchases | 840 | 777 | $6K |
| 92004 | 149 | 130 | $5K | |
| V2100 | Lens spher single plano 4.00 | 129 | 115 | $3K |
| V2784 | Lens polycarb or equal | 14 | 12 | $0.00 |
| V2025 | Eyeglasses delux frames | 335 | 297 | $0.00 |