NPI: 1932361367 · SHELBYVILLE, KY 40065 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 536 | $28K |
| 2019 | 1,417 | $59K |
| 2020 | 1,644 | $54K |
| 2021 | 686 | $21K |
| 2022 | 77 | $5K |
| 2023 | 948 | $47K |
| 2024 | 1,663 | $67K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,235 | 2,059 | $140K | |
| 92004 | 815 | 791 | $73K | |
| V2020 | Vision svcs frames purchases | 1,186 | 1,067 | $29K |
| 92340 | 874 | 824 | $25K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 451 | 411 | $8K |
| V2784 | Lens polycarb or equal | 550 | 494 | $4K |
| 92015 | 743 | 696 | $3K | |
| V2100 | Lens spher single plano 4.00 | 81 | 76 | $1K |
| V2750 | Anti-reflective coating | 36 | 36 | $260.22 |