NPI: 1962841072 · PLANT CITY, FL 33563 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,382 | $22K |
| 2020 | 2,883 | $26K |
| 2021 | 2,083 | $30K |
| 2022 | 4,306 | $70K |
| 2023 | 3,544 | $55K |
| 2024 | 1,693 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,248 | 1,163 | $95K | |
| 92004 | 888 | 853 | $67K | |
| V2020 | Vision svcs frames purchases | 3,754 | 3,363 | $39K |
| 92340 | 3,555 | 3,276 | $20K | |
| 92015 | 2,425 | 2,301 | $4K | |
| V2100 | Lens spher single plano 4.00 | 2,875 | 2,594 | $4K |
| 2020F | 857 | 802 | $1K | |
| 92341 | 28 | 24 | $15.00 | |
| V2784 | Lens polycarb or equal | 228 | 217 | $15.00 |
| V2025 | Eyeglasses delux frames | 229 | 213 | $0.00 |
| V2200 | Lens spher bifoc plano 4.00d | 17 | 12 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 585 | 521 | $0.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 202 | 179 | $0.00 |