NPI: 1013591551 · GLEN BURNIE, MD 21061 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 654 | $350.00 |
| 2023 | 3,249 | $35K |
| 2024 | 3,502 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,585 | 1,477 | $28K | |
| V2020 | Vision svcs frames purchases | 2,272 | 2,128 | $23K |
| V2100 | Lens spher single plano 4.00 | 1,941 | 1,816 | $21K |
| V2784 | Lens polycarb or equal | 1,176 | 1,118 | $6K |
| V2300 | Lens sphere trifocal 4.00d | 109 | 101 | $2K |
| 92014 | 88 | 83 | $2K | |
| V2781 | Progressive lens per lens | 81 | 78 | $48.00 |
| 92250 | 153 | 152 | $0.00 |