NPI: 1790341543 · DAVIE, FL 33328 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 436 | $5K |
| 2021 | 741 | $15K |
| 2022 | 3,391 | $73K |
| 2023 | 3,070 | $70K |
| 2024 | 2,066 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,713 | 1,631 | $94K | |
| V2020 | Vision svcs frames purchases | 1,850 | 1,724 | $61K |
| 92004 | 415 | 405 | $25K | |
| V2784 | Lens polycarb or equal | 290 | 275 | $20K |
| 92340 | 1,759 | 1,658 | $6K | |
| 92015 | 2,278 | 2,181 | $5K | |
| V2100 | Lens spher single plano 4.00 | 433 | 404 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 857 | 807 | $781.42 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 97 | 87 | $12.18 |
| V2750 | Anti-reflective coating | 12 | 12 | $0.00 |