NPI: 1912908658 · THIBODAUX, LA 70301 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,175 | $92K |
| 2019 | 1,786 | $47K |
| 2020 | 630 | $17K |
| 2021 | 1,515 | $34K |
| 2022 | 108 | $2K |
| 2023 | 154 | $3K |
| 2024 | 25 | $374.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,159 | 1,096 | $83K | |
| 92004 | 295 | 281 | $27K | |
| V2020 | Vision svcs frames purchases | 1,722 | 1,609 | $24K |
| 92015 | 1,684 | 1,570 | $15K | |
| 99211 | 820 | 765 | $11K | |
| V2100 | Lens spher single plano 4.00 | 598 | 559 | $10K |
| 92012 | 184 | 158 | $8K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 434 | 423 | $7K |
| 92250 | 121 | 115 | $5K | |
| V2784 | Lens polycarb or equal | 75 | 65 | $4K |
| 92340 | 14 | 14 | $173.04 | |
| 3072F | 234 | 232 | $0.00 | |
| 2023F | 53 | 53 | $0.00 |