NPI: 1790883445 · CLEVELAND, TN 37312 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,679 | $66K |
| 2019 | 2,865 | $77K |
| 2020 | 2,601 | $71K |
| 2021 | 4,172 | $136K |
| 2022 | 4,582 | $145K |
| 2023 | 4,631 | $148K |
| 2024 | 4,236 | $133K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,727 | 2,661 | $176K | |
| 92340 | 5,628 | 5,543 | $175K | |
| 92015 | 4,124 | 4,014 | $160K | |
| 92004 | 1,137 | 1,114 | $98K | |
| V2100 | Lens spher single plano 4.00 | 6,033 | 3,510 | $66K |
| V2020 | Vision svcs frames purchases | 3,597 | 3,532 | $64K |
| V2784 | Lens polycarb or equal | 993 | 976 | $37K |
| 3072F | 1,527 | 1,507 | $0.00 |