NPI: 1902007016 · PINELLAS PARK, FL 33781 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,570 | $43K |
| 2024 | 1,715 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 481 | 432 | $23K |
| 92014 | 770 | 700 | $23K | |
| V2020 | Vision svcs frames purchases | 724 | 658 | $11K |
| 92015 | 1,059 | 960 | $9K | |
| 92340 | 819 | 736 | $8K | |
| 92004 | 185 | 165 | $8K | |
| V2100 | Lens spher single plano 4.00 | 115 | 97 | $6K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 15 | 15 | $1K |
| V2025 | Eyeglasses delux frames | 117 | 96 | $-130.00 |