NPI: 1992431597 · EL DORADO, AR 71730 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,861 | $69K |
| 2024 | 5,368 | $104K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,040 | 860 | $66K | |
| 92004 | 607 | 516 | $49K | |
| V2020 | Vision svcs frames purchases | 1,694 | 1,356 | $20K |
| 92340 | 1,632 | 1,351 | $16K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,145 | 889 | $15K |
| V2100 | Lens spher single plano 4.00 | 250 | 189 | $3K |
| 92012 | 40 | 29 | $2K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 83 | 68 | $1K |
| 92250 | 20 | 20 | $875.67 | |
| 99213 | 13 | 12 | $589.75 | |
| V2107 | Spherocylinder 4.25d/12-2d | 24 | 12 | $210.49 |
| 92015 | 1,681 | 1,372 | $0.00 |