NPI: 1730180704 · CROSSVILLE, TN 38555 · 152WL0500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,053 | $57K |
| 2019 | 3,210 | $75K |
| 2020 | 2,371 | $55K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,551 | 1,520 | $86K | |
| 92015 | 1,960 | 1,917 | $36K | |
| 92004 | 374 | 369 | $24K | |
| 92340 | 955 | 941 | $19K | |
| V2100 | Lens spher single plano 4.00 | 513 | 504 | $10K |
| V2020 | Vision svcs frames purchases | 1,093 | 1,072 | $9K |
| V2784 | Lens polycarb or equal | 959 | 938 | $3K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 229 | 227 | $0.00 |