NPI: 1730297367 · FORT LAUDERDALE, FL 33309 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 145 | $2K |
| 2019 | 79 | $1K |
| 2020 | 76 | $1K |
| 2021 | 303 | $4K |
| 2022 | 920 | $17K |
| 2023 | 383 | $6K |
| 2024 | 182 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 266 | 231 | $16K |
| 92014 | 264 | 244 | $12K | |
| 92004 | 135 | 127 | $5K | |
| 92015 | 899 | 848 | $1K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 80 | 65 | $62.95 |
| 92340 | 183 | 176 | $30.00 | |
| V2784 | Lens polycarb or equal | 183 | 168 | $17.18 |
| V2025 | Eyeglasses delux frames | 22 | 18 | $15.00 |
| V2755 | Uv lens/es | 21 | 18 | $0.00 |
| V2750 | Anti-reflective coating | 35 | 31 | $0.00 |