NPI: 1962854315 · COLLIERVILLE, TN 38017 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,452 | $31K |
| 2023 | 3,474 | $46K |
| 2024 | 2,777 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,260 | 1,253 | $52K | |
| 92340 | 1,659 | 1,646 | $31K | |
| 92004 | 447 | 442 | $19K | |
| 92015 | 1,631 | 1,624 | $18K | |
| V2020 | Vision svcs frames purchases | 1,440 | 1,428 | $160.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 656 | 650 | $63.00 |
| V2100 | Lens spher single plano 4.00 | 296 | 296 | $53.00 |
| V2784 | Lens polycarb or equal | 1,314 | 1,302 | $5.00 |