NPI: 1891247623 · SCOTT, LA 70583 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 379 | $13K |
| 2019 | 3,404 | $102K |
| 2020 | 4,277 | $132K |
| 2021 | 813 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,571 | 1,380 | $100K | |
| 92004 | 1,031 | 925 | $83K | |
| V2020 | Vision svcs frames purchases | 2,652 | 2,265 | $33K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,191 | 1,065 | $20K |
| 99211 | 1,510 | 1,346 | $17K | |
| V2100 | Lens spher single plano 4.00 | 551 | 513 | $10K |
| V2200 | Lens spher bifoc plano 4.00d | 63 | 59 | $3K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 50 | 39 | $2K |
| V2784 | Lens polycarb or equal | 18 | 17 | $482.02 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $212.30 |
| 92015 | 15 | 15 | $0.00 | |
| 99072 | 209 | 194 | $0.00 |