NPI: 1871631135 · SUNRISE, FL 33326 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 409 | $1K |
| 2020 | 691 | $5K |
| 2022 | 58 | $2K |
| 2024 | 112 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 175 | 163 | $6K | |
| V2020 | Vision svcs frames purchases | 193 | 146 | $2K |
| 92340 | 180 | 135 | $1K | |
| 92015 | 366 | 353 | $689.37 | |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $121.80 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 127 | 64 | $0.00 |
| 3072F | 13 | 13 | $0.00 | |
| V2756 | Eye glass case | 19 | 19 | $0.00 |
| 92342 | 19 | 19 | $0.00 | |
| 2021F | 79 | 79 | $0.00 | |
| G0117 | Glaucoma scrn hgh risk direc | 87 | 87 | $0.00 |