NPI: 1669090825 · DAVIE, FL 33328 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 445 | $6K |
| 2022 | 2,438 | $38K |
| 2023 | 1,979 | $35K |
| 2024 | 1,333 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 970 | 900 | $42K |
| 92014 | 1,060 | 982 | $35K | |
| 92004 | 240 | 230 | $15K | |
| V2020 | Vision svcs frames purchases | 1,076 | 989 | $8K |
| 92015 | 1,375 | 1,297 | $7K | |
| 92340 | 1,235 | 1,139 | $6K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 13 | 12 | $210.00 |
| V2784 | Lens polycarb or equal | 72 | 72 | $0.00 |
| V2025 | Eyeglasses delux frames | 108 | 102 | $0.00 |
| V2750 | Anti-reflective coating | 46 | 46 | $0.00 |