NPI: 1902498058 · DAVIE, FL 33314 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 774 | $13K |
| 2022 | 3,973 | $70K |
| 2023 | 5,077 | $86K |
| 2024 | 4,766 | $107K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,099 | 1,844 | $114K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,022 | 1,707 | $50K |
| 92014 | 1,057 | 964 | $42K | |
| V2020 | Vision svcs frames purchases | 2,119 | 1,815 | $22K |
| 92015 | 3,053 | 2,656 | $20K | |
| 92340 | 2,685 | 2,275 | $19K | |
| V2100 | Lens spher single plano 4.00 | 426 | 352 | $7K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 14 | 12 | $954.50 |
| V2107 | Spherocylinder 4.25d/12-2d | 15 | 15 | $926.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 16 | 13 | $242.50 |
| V2784 | Lens polycarb or equal | 169 | 157 | $56.00 |
| 92341 | 15 | 13 | $0.00 | |
| V2025 | Eyeglasses delux frames | 900 | 776 | $-236.00 |