NPI: 1750514568 · HIALEAH, FL 33012 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $280.00 |
| 2019 | 581 | $10K |
| 2020 | 279 | $8K |
| 2022 | 230 | $4K |
| 2023 | 1,166 | $41K |
| 2024 | 783 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 883 | 848 | $57K | |
| 92014 | 180 | 169 | $10K | |
| V2020 | Vision svcs frames purchases | 345 | 339 | $10K |
| 92015 | 856 | 833 | $4K | |
| 99204 | 44 | 44 | $3K | |
| V2100 | Lens spher single plano 4.00 | 252 | 244 | $2K |
| 92340 | 232 | 227 | $1K | |
| V2025 | Eyeglasses delux frames | 64 | 58 | $288.00 |
| 2022F | 164 | 158 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 18 | 18 | $0.00 |
| V2784 | Lens polycarb or equal | 15 | 15 | $0.00 |