NPI: 1053458000 · SUFFOLK, VA 23435 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 99 | $2K |
| 2019 | 118 | $2K |
| 2020 | 29 | $189.94 |
| 2021 | 294 | $5K |
| 2022 | 275 | $7K |
| 2023 | 162 | $5K |
| 2024 | 38 | $886.86 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 117 | 112 | $7K | |
| 92004 | 67 | 66 | $4K | |
| V2100 | Lens spher single plano 4.00 | 131 | 131 | $4K |
| 92015 | 443 | 429 | $4K | |
| V2025 | Eyeglasses delux frames | 53 | 53 | $3K |
| V2784 | Lens polycarb or equal | 136 | 135 | $607.98 |
| V2020 | Vision svcs frames purchases | 12 | 12 | $335.00 |
| 1036F | 14 | 13 | $0.00 | |
| G9903 | Pt scrn tbco id as non user | 14 | 13 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 15 | 12 | $0.00 |
| 99199 | 13 | 13 | $0.00 |