NPI: 1669548426 · KISSIMMEE, FL 34744 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 422 | $7K |
| 2020 | 754 | $14K |
| 2021 | 2,028 | $35K |
| 2022 | 4,569 | $78K |
| 2023 | 1,841 | $31K |
| 2024 | 1,666 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,656 | 1,568 | $72K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,469 | 1,378 | $55K |
| 92004 | 611 | 583 | $45K | |
| 92340 | 2,288 | 2,161 | $11K | |
| 92015 | 2,444 | 2,333 | $9K | |
| V2100 | Lens spher single plano 4.00 | 269 | 250 | $9K |
| V2020 | Vision svcs frames purchases | 1,985 | 1,880 | $8K |
| 92341 | 15 | 13 | $14.50 | |
| V2784 | Lens polycarb or equal | 153 | 145 | $0.00 |
| V2025 | Eyeglasses delux frames | 370 | 349 | $0.00 |
| V2750 | Anti-reflective coating | 20 | 16 | $0.00 |