NPI: 1689865149 · WINTER GARDEN, FL 34787 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,235 | $13K |
| 2020 | 1,107 | $12K |
| 2021 | 1,850 | $29K |
| 2022 | 1,791 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 500 | 484 | $43K | |
| 92014 | 400 | 383 | $35K | |
| 92340 | 1,219 | 1,147 | $4K | |
| V2020 | Vision svcs frames purchases | 1,320 | 1,241 | $3K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 355 | 335 | $1K |
| V2100 | Lens spher single plano 4.00 | 478 | 452 | $930.07 |
| V2784 | Lens polycarb or equal | 138 | 130 | $853.53 |
| 92015 | 1,199 | 1,156 | $90.00 | |
| 92250 | 374 | 358 | $0.00 |