NPI: 1861803520 · HARTSVILLE, SC 29550 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,814 | $70K |
| 2019 | 1,831 | $73K |
| 2020 | 1,391 | $56K |
| 2021 | 1,861 | $71K |
| 2022 | 2,727 | $108K |
| 2023 | 2,419 | $92K |
| 2024 | 2,133 | $80K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,697 | 2,684 | $243K | |
| 92014 | 1,761 | 1,755 | $131K | |
| 92015 | 4,996 | 4,973 | $75K | |
| 92340 | 3,926 | 3,904 | $72K | |
| V2784 | Lens polycarb or equal | 366 | 362 | $15K |
| V2020 | Vision svcs frames purchases | 230 | 226 | $12K |
| V2025 | Eyeglasses delux frames | 28 | 28 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 172 | 169 | $2K |