NPI: 1952961112 · VALRICO, FL 33594 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,753 | $26K |
| 2024 | 2,556 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 751 | 593 | $21K |
| 92014 | 358 | 338 | $13K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 494 | 395 | $12K |
| 92340 | 789 | 614 | $8K | |
| 92015 | 588 | 540 | $6K | |
| 92004 | 107 | 89 | $4K | |
| 3072F | 448 | 294 | $2K | |
| V2730 | Special base curve | 56 | 32 | $325.50 |
| V2100 | Lens spher single plano 4.00 | 14 | 12 | $191.72 |
| V2760 | Scratch resistant coating | 352 | 235 | $0.00 |
| V2755 | Uv lens/es | 352 | 235 | $0.00 |