NPI: 1952410524 · LEITCHFIELD, KY 42754 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,371 | $160K |
| 2019 | 2,101 | $84K |
| 2020 | 12 | $202.20 |
| 2022 | 127 | $9K |
| 2024 | 121 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,417 | 1,372 | $97K | |
| 92004 | 460 | 442 | $41K | |
| V2020 | Vision svcs frames purchases | 1,203 | 1,138 | $30K |
| 92340 | 933 | 900 | $30K | |
| 99213 | 608 | 507 | $21K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 867 | 823 | $19K |
| V2784 | Lens polycarb or equal | 662 | 630 | $8K |
| V2100 | Lens spher single plano 4.00 | 232 | 212 | $4K |
| 92370 | 143 | 137 | $4K | |
| 92015 | 165 | 156 | $917.04 | |
| 92250 | 15 | 12 | $475.69 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 14 | 14 | $295.20 |
| V2715 | Prism lens/es | 13 | 13 | $0.00 |