NPI: 1699838201 · SULPHUR, LA 70663 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,021 | $43K |
| 2019 | 2,878 | $42K |
| 2020 | 1,534 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,657 | 2,470 | $40K |
| 99211 | 2,582 | 2,418 | $32K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,366 | 1,278 | $22K |
| V2100 | Lens spher single plano 4.00 | 787 | 741 | $12K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 13 | 13 | $669.93 |
| V2107 | Spherocylinder 4.25d/12-2d | 15 | 13 | $221.40 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 13 | 12 | $164.05 |