NPI: 1992770952 · SMITHFIELD, NC 27577 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 861 | $3K |
| 2019 | 3,637 | $98K |
| 2020 | 2,219 | $101K |
| 2021 | 1,232 | $57K |
| 2023 | 15 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 1,755 | 1,731 | $80K |
| 92014 | 1,185 | 1,164 | $62K | |
| V2020 | Vision svcs frames purchases | 2,487 | 2,418 | $50K |
| S0621 | Routine ophthalmological exa | 566 | 553 | $32K |
| 92004 | 237 | 237 | $10K | |
| V2784 | Lens polycarb or equal | 592 | 539 | $9K |
| 92015 | 629 | 590 | $6K | |
| 92012 | 100 | 94 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 307 | 282 | $3K |
| 99213 | 28 | 26 | $1K | |
| V2025 | Eyeglasses delux frames | 65 | 65 | $772.20 |
| S0620 | Routine ophthalmological exa | 13 | 13 | $0.00 |