NPI: 1831624121 · SELMA, AL 36701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 57 | $439.87 |
| 2019 | 200 | $4K |
| 2020 | 164 | $3K |
| 2021 | 453 | $7K |
| 2022 | 1,819 | $34K |
| 2023 | 2,529 | $55K |
| 2024 | 1,849 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 409 | 400 | $27K | |
| 92004 | 303 | 290 | $22K | |
| 92340 | 1,338 | 1,241 | $22K | |
| 99213 | 596 | 496 | $18K | |
| V2750 | Anti-reflective coating | 301 | 269 | $13K |
| 92015 | 1,854 | 1,629 | $11K | |
| V2020 | Vision svcs frames purchases | 817 | 749 | $8K |
| 99214 | 181 | 138 | $8K | |
| V2784 | Lens polycarb or equal | 781 | 718 | $3K |
| 92250 | 123 | 105 | $3K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 148 | 142 | $2K |
| 92083 | 66 | 53 | $2K | |
| 92283 | 102 | 99 | $1K | |
| 92273 | 12 | 12 | $849.18 | |
| 99204 | 13 | 12 | $652.40 | |
| 92133 | 27 | 25 | $448.52 |