NPI: 1730369687 · WHITESBURG, KY 41858 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 298 | $15K |
| 2021 | 141 | $2K |
| 2022 | 949 | $31K |
| 2023 | 1,529 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 657 | 586 | $32K | |
| 92004 | 457 | 411 | $31K | |
| V2020 | Vision svcs frames purchases | 525 | 473 | $18K |
| 92340 | 378 | 348 | $11K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 287 | 256 | $5K |
| V2784 | Lens polycarb or equal | 240 | 211 | $2K |
| V2750 | Anti-reflective coating | 187 | 162 | $1K |
| V2100 | Lens spher single plano 4.00 | 46 | 44 | $775.70 |
| V2755 | Uv lens/es | 86 | 83 | $758.00 |
| V2760 | Scratch resistant coating | 54 | 52 | $102.00 |