NPI: 1821302795 · LAUREL, MS 39440 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,536 | $109K |
| 2019 | 1,824 | $80K |
| 2020 | 758 | $27K |
| 2021 | 727 | $27K |
| 2022 | 366 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 797 | 786 | $80K | |
| 92015 | 1,365 | 1,335 | $72K | |
| V2020 | Vision svcs frames purchases | 1,539 | 1,500 | $53K |
| 92340 | 1,553 | 1,514 | $18K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 595 | 589 | $16K |
| V2100 | Lens spher single plano 4.00 | 245 | 243 | $8K |
| 92004 | 40 | 39 | $5K | |
| 92012 | 60 | 59 | $4K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 17 | 15 | $641.16 |