NPI: 1972507614 · COOKEVILLE, TN 38501 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 239 | $3K |
| 2019 | 664 | $3K |
| 2020 | 831 | $3K |
| 2021 | 1,196 | $4K |
| 2022 | 1,356 | $5K |
| 2023 | 1,323 | $4K |
| 2024 | 1,040 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 2,143 | 2,034 | $27K | |
| V2784 | Lens polycarb or equal | 1,865 | 1,786 | $112.50 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 729 | 709 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 14 | 14 | $0.00 |
| V2020 | Vision svcs frames purchases | 1,886 | 1,775 | $0.00 |
| V2025 | Eyeglasses delux frames | 12 | 12 | $0.00 |