NPI: 1700834728 · MCCOMB, MS 39648 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,701 | $68K |
| 2019 | 1,729 | $61K |
| 2020 | 2,139 | $57K |
| 2021 | 1,998 | $49K |
| 2022 | 1,344 | $35K |
| 2023 | 254 | $6K |
| 2024 | 908 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 735 | 687 | $59K | |
| V2020 | Vision svcs frames purchases | 1,656 | 1,563 | $44K |
| 92015 | 2,167 | 2,021 | $44K | |
| V2100 | Lens spher single plano 4.00 | 1,370 | 1,290 | $43K |
| 92340 | 2,301 | 2,133 | $43K | |
| 92004 | 291 | 260 | $28K | |
| 92012 | 369 | 350 | $24K | |
| 92002 | 273 | 251 | $16K | |
| V2784 | Lens polycarb or equal | 65 | 62 | $561.26 |
| 2023F | 356 | 327 | $550.00 | |
| 2024F | 429 | 382 | $60.00 | |
| 3072F | 43 | 35 | $10.00 | |
| 2022F | 18 | 17 | $0.00 |