NPI: 1740561430 · BRADENTON, FL 34208 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,768 | $28K |
| 2020 | 1,188 | $16K |
| 2021 | 1,489 | $23K |
| 2022 | 3,941 | $67K |
| 2023 | 3,779 | $73K |
| 2024 | 3,348 | $88K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,356 | 2,119 | $98K | |
| 92004 | 1,045 | 996 | $69K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,164 | 1,993 | $64K |
| 92340 | 2,921 | 2,756 | $21K | |
| V2020 | Vision svcs frames purchases | 2,533 | 2,388 | $18K |
| 92015 | 3,276 | 3,092 | $17K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 144 | 137 | $5K |
| V2100 | Lens spher single plano 4.00 | 127 | 117 | $3K |
| V2784 | Lens polycarb or equal | 224 | 216 | $15.00 |
| V2025 | Eyeglasses delux frames | 666 | 615 | $0.00 |
| V2750 | Anti-reflective coating | 43 | 40 | $0.00 |
| 2022F | 14 | 14 | $0.00 |