NPI: 1912372871 · HARTSVILLE, SC 29550 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 111 | $986.16 |
| 2019 | 891 | $4K |
| 2020 | 777 | $5K |
| 2021 | 886 | $8K |
| 2022 | 953 | $11K |
| 2023 | 714 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,551 | 1,536 | $18K |
| V2100 | Lens spher single plano 4.00 | 905 | 506 | $14K |
| 92004 | 213 | 210 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 239 | 124 | $1K |
| 92002 | 12 | 12 | $480.00 | |
| V2784 | Lens polycarb or equal | 1,365 | 695 | $225.50 |
| V2755 | Uv lens/es | 28 | 14 | $0.00 |
| 92015 | 19 | 15 | $0.00 |