NPI: 1912951187 · HARRISON, AR 72601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,195 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 190 | 181 | $17K | |
| 92015 | 291 | 276 | $13K | |
| V2020 | Vision svcs frames purchases | 146 | 141 | $5K |
| 99213 | 103 | 86 | $4K | |
| 92340 | 234 | 228 | $4K | |
| 92004 | 15 | 15 | $2K | |
| 92083 | 40 | 33 | $1K | |
| 83861 | 25 | 17 | $484.96 | |
| 92133 | 13 | 13 | $268.98 | |
| G8427 | Docrev cur meds by elig clin | 94 | 84 | $0.00 |
| G9744 | Pt not eli d/t act dig htn | 16 | 13 | $0.00 |
| 1036F | 28 | 25 | $0.00 |