NPI: 1871807263 · VILLE PLATTE, LA 70586 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,106 | $83K |
| 2019 | 2,835 | $65K |
| 2020 | 4,098 | $94K |
| 2021 | 6,975 | $161K |
| 2022 | 3,207 | $70K |
| 2023 | 24 | $1K |
| 2024 | 188 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,535 | 2,350 | $171K | |
| 92004 | 1,414 | 1,306 | $117K | |
| V2020 | Vision svcs frames purchases | 4,307 | 3,863 | $64K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,278 | 2,630 | $50K |
| 99211 | 3,824 | 3,467 | $45K | |
| V2100 | Lens spher single plano 4.00 | 952 | 825 | $14K |
| V2200 | Lens spher bifoc plano 4.00d | 226 | 168 | $10K |
| 92012 | 49 | 41 | $2K | |
| 92340 | 173 | 159 | $2K | |
| V2781 | Progressive lens per lens | 32 | 29 | $1K |
| 92250 | 56 | 41 | $1K | |
| V2799 | Misc vision item or service | 55 | 55 | $747.62 |
| 99213 | 18 | 13 | $539.89 | |
| 92310 | 28 | 24 | $192.00 | |
| S0580 | Polycarb lens | 34 | 33 | $103.29 |
| 92015 | 3,452 | 3,137 | $0.00 |