NPI: 1922135524 · PADUCAH, KY 42003 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 389 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 63 | 63 | $6K | |
| 92014 | 35 | 35 | $2K | |
| V2020 | Vision svcs frames purchases | 62 | 62 | $2K |
| 92340 | 55 | 54 | $2K | |
| 92250 | 14 | 14 | $607.92 | |
| 92015 | 49 | 49 | $465.06 | |
| V2784 | Lens polycarb or equal | 49 | 49 | $411.00 |
| V2100 | Lens spher single plano 4.00 | 14 | 14 | $361.40 |
| V2760 | Scratch resistant coating | 48 | 48 | $110.00 |