NPI: 1730856469 · WHITESBURG, KY 41858 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,283 | $38K |
| 2024 | 2,827 | $84K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 657 | 628 | $43K | |
| 92004 | 263 | 257 | $22K | |
| 92340 | 723 | 700 | $22K | |
| V2020 | Vision svcs frames purchases | 810 | 768 | $21K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 444 | 419 | $7K |
| V2784 | Lens polycarb or equal | 661 | 634 | $5K |
| V2100 | Lens spher single plano 4.00 | 71 | 69 | $918.40 |
| V2760 | Scratch resistant coating | 425 | 413 | $816.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 38 | 37 | $647.20 |
| 99199 | 18 | 17 | $0.00 |