NPI: 1922520501 · RIVERDALE, GA 30274 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,504 | $30K |
| 2019 | 1,642 | $35K |
| 2020 | 1,442 | $33K |
| 2021 | 1,113 | $28K |
| 2022 | 686 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,103 | 1,065 | $39K | |
| 92004 | 777 | 744 | $36K | |
| 92012 | 758 | 711 | $20K | |
| 92340 | 911 | 882 | $14K | |
| 92015 | 1,482 | 1,460 | $11K | |
| 92083 | 253 | 235 | $9K | |
| 92250 | 215 | 207 | $8K | |
| 92020 | 164 | 154 | $3K | |
| V2020 | Vision svcs frames purchases | 25 | 25 | $1K |
| 92226 | 12 | 12 | $359.21 | |
| 76514 | 13 | 12 | $129.35 | |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $84.00 |
| G8427 | Docrev cur meds by elig clin | 593 | 552 | $0.00 |
| 2027F | 42 | 40 | $0.00 | |
| 3284F | 27 | 25 | $0.00 |