NPI: 1083771182 · LAUREL, MD 20707 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,612 | $40K |
| 2021 | 1,481 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 959 | 720 | $12K |
| V2020 | Vision svcs frames purchases | 1,204 | 923 | $12K |
| 92004 | 627 | 476 | $11K | |
| 92014 | 583 | 450 | $10K | |
| V2784 | Lens polycarb or equal | 750 | 589 | $7K |
| V2781 | Progressive lens per lens | 104 | 99 | $4K |
| V2299 | Lens bifocal speciality | 104 | 99 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 29 | 26 | $754.00 |
| 92015 | 652 | 531 | $0.00 | |
| V2750 | Anti-reflective coating | 81 | 71 | $0.00 |