NPI: 1033149331 · KINGSTON, PA 18704 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 478 | $10K |
| 2021 | 2,213 | $50K |
| 2022 | 1,554 | $32K |
| 2023 | 1,227 | $23K |
| 2024 | 1,073 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 1,729 | 853 | $54K |
| 92014 | 948 | 927 | $41K | |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 343 | 152 | $16K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 609 | 329 | $11K |
| V2020 | Vision svcs frames purchases | 1,176 | 1,076 | $8K |
| 92015 | 1,329 | 1,292 | $7K | |
| V2100 | Lens spher single plano 4.00 | 357 | 162 | $5K |
| 92004 | 27 | 26 | $2K | |
| 92012 | 27 | 26 | $693.84 |