NPI: 1912128455 · BOGALUSA, LA 70427 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,655 | $174K |
| 2019 | 4,310 | $157K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,197 | 1,069 | $99K | |
| 92014 | 1,217 | 1,104 | $87K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,422 | 1,249 | $48K |
| V2020 | Vision svcs frames purchases | 2,675 | 2,435 | $31K |
| V2100 | Lens spher single plano 4.00 | 825 | 768 | $27K |
| 99211 | 1,473 | 1,458 | $19K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 103 | 99 | $9K |
| 92340 | 242 | 241 | $4K | |
| V2200 | Lens spher bifoc plano 4.00d | 43 | 39 | $3K |
| 92015 | 277 | 275 | $2K | |
| 3072F | 491 | 478 | $0.00 |