NPI: 1780672295 · FORT LAUDERDALE, FL 33309 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 294 | $6K |
| 2019 | 2,735 | $39K |
| 2020 | 720 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 350 | 346 | $23K | |
| 92004 | 289 | 279 | $15K | |
| V2020 | Vision svcs frames purchases | 601 | 585 | $5K |
| V2025 | Eyeglasses delux frames | 151 | 147 | $4K |
| 92340 | 484 | 468 | $1K | |
| 92341 | 52 | 52 | $229.80 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 288 | 255 | $222.60 |
| V2100 | Lens spher single plano 4.00 | 86 | 77 | $120.06 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 89 | 74 | $58.66 |
| V2784 | Lens polycarb or equal | 306 | 304 | $8.00 |
| 92015 | 523 | 515 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 175 | 175 | $0.00 |
| 2022F | 177 | 176 | $0.00 | |
| V2745 | Tint, any color/solid/grad | 15 | 15 | $0.00 |
| S3000 | Bilat dil retinal exam | 15 | 15 | $0.00 |
| 92002 | 120 | 120 | $0.00 | |
| 3072F | 13 | 13 | $0.00 | |
| 92227 | 15 | 15 | $0.00 |