NPI: 1710976022
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 203 | $4K |
| 2022 | 508 | $15K |
| 2023 | 595 | $20K |
| 2024 | 203 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 373 | 366 | $22K | |
| V2020 | Vision svcs frames purchases | 346 | 340 | $15K |
| V2100 | Lens spher single plano 4.00 | 68 | 68 | $4K |
| 92015 | 587 | 585 | $3K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 61 | 61 | $3K |
| V2784 | Lens polycarb or equal | 33 | 32 | $1K |
| S0580 | Polycarb lens | 12 | 12 | $100.00 |
| 2033F | 29 | 29 | $0.00 |