NPI: 1942258900 · HARTSVILLE, SC 29550 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 726 | $15K |
| 2019 | 687 | $13K |
| 2020 | 531 | $12K |
| 2021 | 1,047 | $20K |
| 2022 | 1,047 | $17K |
| 2023 | 1,108 | $19K |
| 2024 | 704 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 701 | 701 | $43K | |
| 92015 | 1,205 | 1,205 | $19K | |
| 92340 | 823 | 822 | $16K | |
| V2100 | Lens spher single plano 4.00 | 597 | 596 | $8K |
| V2020 | Vision svcs frames purchases | 825 | 824 | $8K |
| V2760 | Scratch resistant coating | 836 | 836 | $8K |
| V2784 | Lens polycarb or equal | 837 | 837 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 26 | 26 | $364.00 |