NPI: 1760784102 · LUTZ, FL 33559 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 25 | $0.00 |
| 2021 | 463 | $7K |
| 2022 | 1,747 | $26K |
| 2023 | 1,876 | $28K |
| 2024 | 1,412 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 960 | 907 | $33K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 621 | 559 | $27K |
| 92004 | 279 | 267 | $15K | |
| 92015 | 1,323 | 1,255 | $8K | |
| 92340 | 1,137 | 1,049 | $7K | |
| V2020 | Vision svcs frames purchases | 1,006 | 929 | $5K |
| V2100 | Lens spher single plano 4.00 | 72 | 68 | $3K |
| V2025 | Eyeglasses delux frames | 96 | 90 | $0.00 |
| V2750 | Anti-reflective coating | 12 | 12 | $0.00 |
| V2784 | Lens polycarb or equal | 17 | 17 | $0.00 |