NPI: 1861129777 · VERSAILLES, KY 40383 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 2,344 | $75K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 280 | 272 | $25K | |
| 92014 | 363 | 356 | $25K | |
| V2020 | Vision svcs frames purchases | 325 | 323 | $10K |
| 92340 | 276 | 274 | $9K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 237 | 181 | $3K |
| 92015 | 644 | 629 | $2K | |
| V2784 | Lens polycarb or equal | 176 | 175 | $1K |
| V2100 | Lens spher single plano 4.00 | 43 | 27 | $420.48 |