NPI: 1770022972 · MONTICELLO, AR 71655 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,419 | $69K |
| 2019 | 2,091 | $101K |
| 2020 | 2,163 | $101K |
| 2021 | 3,247 | $155K |
| 2022 | 2,491 | $121K |
| 2023 | 2,342 | $116K |
| 2024 | 1,456 | $73K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 6,073 | 5,908 | $286K | |
| S0621 | Routine ophthalmological exa | 3,499 | 3,402 | $195K |
| S0620 | Routine ophthalmological exa | 2,085 | 2,039 | $116K |
| 92014 | 1,259 | 1,198 | $65K | |
| 92015 | 1,632 | 1,566 | $49K | |
| 92370 | 297 | 289 | $9K | |
| 92004 | 132 | 126 | $9K | |
| 92250 | 121 | 110 | $2K | |
| 92012 | 57 | 50 | $2K | |
| 99203 | 14 | 13 | $659.71 | |
| V2020 | Vision svcs frames purchases | 26 | 25 | $500.00 |
| 99213 | 14 | 13 | $363.93 |