NPI: 1811124415 · LULING, LA 70070 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,070 | $10K |
| 2022 | 13 | $232.60 |
| 2023 | 51 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 462 | 285 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 154 | 95 | $3K |
| V2799 | Misc vision item or service | 359 | 268 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 26 | 12 | $792.00 |
| 92340 | 82 | 78 | $192.66 | |
| V2100 | Lens spher single plano 4.00 | 24 | 13 | $0.00 |
| V2025 | Eyeglasses delux frames | 27 | 15 | $0.00 |