NPI: 1932762861 · BRANDON, FL 33511 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 2,336 | $25K |
| 2022 | 2,565 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 771 | 626 | $30K | |
| 92004 | 249 | 211 | $17K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 665 | 536 | $13K |
| V2020 | Vision svcs frames purchases | 786 | 642 | $4K |
| V2100 | Lens spher single plano 4.00 | 220 | 173 | $4K |
| V2599 | Contact lens/es other type | 12 | 12 | $1K |
| 92340 | 941 | 760 | $412.62 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 15 | 13 | $405.90 |
| 92015 | 963 | 779 | $65.00 | |
| V2784 | Lens polycarb or equal | 71 | 66 | $0.00 |
| 92310 | 21 | 16 | $0.00 | |
| V2025 | Eyeglasses delux frames | 149 | 124 | $0.00 |
| V2750 | Anti-reflective coating | 38 | 34 | $0.00 |