NPI: 1851389423 · PANAMA CITY, FL 32405 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,983 | $19K |
| 2023 | 3,300 | $70K |
| 2024 | 2,459 | $61K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,085 | 1,026 | $53K | |
| 92004 | 847 | 790 | $43K | |
| V2020 | Vision svcs frames purchases | 1,357 | 1,312 | $39K |
| 92015 | 1,905 | 1,786 | $8K | |
| 92340 | 1,002 | 975 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,355 | 822 | $2K |
| 92012 | 14 | 12 | $871.63 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 85 | 51 | $296.13 |
| 92341 | 39 | 38 | $15.00 | |
| V2100 | Lens spher single plano 4.00 | 53 | 39 | $0.00 |