NPI: 1831405448 · CANTON, MS 39046 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,602 | $117K |
| 2019 | 2,253 | $105K |
| 2020 | 1,249 | $47K |
| 2021 | 1,062 | $34K |
| 2022 | 530 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 976 | 963 | $99K | |
| 92015 | 1,813 | 1,785 | $76K | |
| V2020 | Vision svcs frames purchases | 1,785 | 1,749 | $62K |
| 92012 | 406 | 404 | $29K | |
| 92340 | 1,453 | 1,430 | $22K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 516 | 509 | $16K |
| 92004 | 78 | 78 | $9K | |
| V2100 | Lens spher single plano 4.00 | 155 | 154 | $6K |
| 92341 | 42 | 42 | $707.52 | |
| V2784 | Lens polycarb or equal | 472 | 466 | $0.00 |