NPI: 1013014067 · MARION, VA 24354 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 634 | $28K |
| 2022 | 28 | $25.00 |
| 2023 | 128 | $344.91 |
| 2024 | 24 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 134 | 128 | $12K | |
| 92004 | 79 | 69 | $7K | |
| 92015 | 295 | 267 | $4K | |
| V2100 | Lens spher single plano 4.00 | 30 | 30 | $2K |
| 92250 | 34 | 26 | $950.88 | |
| V2750 | Anti-reflective coating | 19 | 19 | $933.00 |
| 92340 | 15 | 15 | $344.91 | |
| V2020 | Vision svcs frames purchases | 165 | 132 | $193.48 |
| G8427 | Docrev cur meds by elig clin | 24 | 12 | $0.00 |
| V2784 | Lens polycarb or equal | 19 | 14 | $0.00 |