NPI: 1740416429 · FULTON, MS 38843 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,438 | $118K |
| 2019 | 2,541 | $111K |
| 2020 | 2,050 | $74K |
| 2021 | 1,674 | $62K |
| 2022 | 674 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,500 | 1,353 | $137K | |
| 92015 | 1,826 | 1,669 | $66K | |
| V2020 | Vision svcs frames purchases | 1,723 | 1,552 | $54K |
| V2100 | Lens spher single plano 4.00 | 1,488 | 1,345 | $49K |
| 92004 | 269 | 260 | $31K | |
| 92250 | 778 | 686 | $28K | |
| 92340 | 1,545 | 1,401 | $22K | |
| 92020 | 164 | 156 | $3K | |
| 92083 | 16 | 15 | $761.58 | |
| 83861 | 68 | 37 | $121.38 |