NPI: 1699800433 · KISSIMMEE, FL 34744 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 3,938 | $59K |
| 2024 | 4,309 | $75K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,436 | 1,120 | $41K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,039 | 805 | $30K |
| 92015 | 1,849 | 1,456 | $16K | |
| 92004 | 342 | 269 | $15K | |
| 92340 | 1,519 | 1,177 | $12K | |
| V2020 | Vision svcs frames purchases | 1,180 | 906 | $11K |
| V2100 | Lens spher single plano 4.00 | 399 | 296 | $9K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 18 | 15 | $150.00 |
| V2025 | Eyeglasses delux frames | 465 | 370 | $-116.00 |