NPI: 1982797569 · KISSIMMEE, FL 34759 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,646 | $26K |
| 2022 | 4,670 | $78K |
| 2023 | 2,605 | $53K |
| 2024 | 1,672 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,163 | 1,140 | $70K | |
| V2020 | Vision svcs frames purchases | 2,148 | 1,669 | $58K |
| 92004 | 769 | 755 | $49K | |
| V2100 | Lens spher single plano 4.00 | 2,028 | 1,576 | $5K |
| 92015 | 2,038 | 1,994 | $5K | |
| 92340 | 2,048 | 1,591 | $4K | |
| V2200 | Lens spher bifoc plano 4.00d | 19 | 12 | $241.16 |
| V2784 | Lens polycarb or equal | 217 | 211 | $20.00 |
| V2750 | Anti-reflective coating | 149 | 144 | $0.00 |
| G8785 | Bp scrn no perf at interval | 14 | 13 | $0.00 |