NPI: 1891428561 · HOMESTEAD, FL 33030 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,718 | $41K |
| 2024 | 4,334 | $100K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 896 | 855 | $46K | |
| V2020 | Vision svcs frames purchases | 1,174 | 1,116 | $39K |
| 92004 | 400 | 395 | $20K | |
| 92340 | 1,133 | 1,072 | $12K | |
| 92015 | 1,332 | 1,282 | $12K | |
| V2100 | Lens spher single plano 4.00 | 654 | 634 | $9K |
| V2784 | Lens polycarb or equal | 120 | 114 | $715.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 301 | 277 | $252.51 |
| 92341 | 14 | 14 | $210.00 | |
| V2200 | Lens spher bifoc plano 4.00d | 13 | 13 | $203.58 |
| 3072F | 15 | 15 | $150.00 |