NPI: 1033416979 · MONACA, PA 15061 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 387 | $9K |
| 2020 | 172 | $6K |
| 2021 | 1,137 | $40K |
| 2022 | 916 | $36K |
| 2023 | 1,075 | $46K |
| 2024 | 1,129 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,164 | 1,929 | $92K |
| V2100 | Lens spher single plano 4.00 | 1,816 | 1,569 | $66K |
| 92014 | 227 | 225 | $9K | |
| 92004 | 186 | 184 | $7K | |
| 92012 | 146 | 145 | $6K | |
| V2784 | Lens polycarb or equal | 84 | 78 | $3K |
| 92340 | 100 | 100 | $2K | |
| S0621 | Routine ophthalmological exa | 45 | 45 | $1K |
| V2750 | Anti-reflective coating | 36 | 36 | $919.51 |
| V2500 | Contact lens pmma spherical | 12 | 12 | $775.00 |