NPI: 1912053547 · PALATKA, FL 32177 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $201.75 |
| 2022 | 1,062 | $95K |
| 2023 | 1,925 | $79K |
| 2024 | 868 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 865 | 853 | $127K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 347 | 337 | $36K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 233 | 233 | $13K |
| 92014 | 492 | 487 | $11K | |
| 92004 | 418 | 407 | $5K | |
| 92015 | 1,121 | 1,099 | $4K | |
| 92340 | 376 | 376 | $3K | |
| V2025 | Eyeglasses delux frames | 18 | 18 | $0.00 |