NPI: 1700842861 · GREENWOOD, SC 29649 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 29 | $829.15 |
| 2020 | 195 | $4K |
| 2021 | 581 | $16K |
| 2022 | 200 | $5K |
| 2023 | 2,492 | $86K |
| 2024 | 1,832 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,517 | 1,517 | $87K | |
| V2020 | Vision svcs frames purchases | 463 | 462 | $20K |
| V2199 | Lens single vision not oth c | 380 | 379 | $19K |
| 92015 | 2,067 | 2,067 | $17K | |
| 92014 | 243 | 243 | $13K | |
| V2784 | Lens polycarb or equal | 463 | 462 | $6K |
| 92340 | 153 | 153 | $3K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 43 | 43 | $602.00 |