NPI: 1770556888 · MIDDLEBURG, FL 32068 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,259 | $44K |
| 2023 | 2,627 | $57K |
| 2024 | 1,659 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 822 | 727 | $44K | |
| 92014 | 711 | 656 | $40K | |
| V2020 | Vision svcs frames purchases | 1,186 | 1,125 | $39K |
| 92015 | 1,633 | 1,469 | $5K | |
| 92340 | 1,073 | 1,013 | $3K | |
| V2100 | Lens spher single plano 4.00 | 1,064 | 1,004 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 13 | 13 | $338.18 |
| G8428 | Cur meds not document | 25 | 24 | $0.00 |
| G8785 | Bp scrn no perf at interval | 18 | 17 | $0.00 |