NPI: 1083266290 · DUNDALK, MD 21222 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,378 | $30K |
| 2022 | 2,203 | $43K |
| 2023 | 144 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 725 | 614 | $25K | |
| V2100 | Lens spher single plano 4.00 | 798 | 775 | $15K |
| V2020 | Vision svcs frames purchases | 1,041 | 1,009 | $15K |
| 92004 | 378 | 336 | $12K | |
| V2784 | Lens polycarb or equal | 520 | 508 | $4K |
| V2200 | Lens spher bifoc plano 4.00d | 122 | 110 | $3K |
| S0621 | Routine ophthalmological exa | 17 | 17 | $850.00 |
| 92015 | 55 | 44 | $703.74 | |
| 3072F | 69 | 57 | $0.00 |