NPI: 1679505507 · GRAYSON, KY 41143 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,504 | $98K |
| 2019 | 3,219 | $113K |
| 2020 | 4,358 | $114K |
| 2021 | 5,153 | $138K |
| 2022 | 422 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,401 | 2,299 | $149K | |
| 92004 | 1,367 | 1,311 | $117K | |
| 92340 | 2,391 | 2,298 | $95K | |
| V2020 | Vision svcs frames purchases | 1,904 | 1,802 | $62K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 983 | 931 | $17K |
| V2100 | Lens spher single plano 4.00 | 575 | 546 | $9K |
| V2784 | Lens polycarb or equal | 1,210 | 1,151 | $9K |
| 92370 | 108 | 107 | $3K | |
| 92341 | 71 | 63 | $3K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 59 | 53 | $3K |
| V2760 | Scratch resistant coating | 1,121 | 1,068 | $2K |
| 99212 | 74 | 64 | $2K | |
| 92015 | 2,355 | 2,295 | $2K | |
| 92250 | 25 | 24 | $915.54 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $223.75 |