NPI: 1114397908 · BEL AIR, MD 21014 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 337 | $5K |
| 2024 | 454 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 290 | 288 | $5K |
| 92004 | 145 | 124 | $2K | |
| V2100 | Lens spher single plano 4.00 | 142 | 141 | $2K |
| S0620 | Routine ophthalmological exa | 14 | 14 | $630.00 |
| V2784 | Lens polycarb or equal | 63 | 63 | $120.00 |
| 92015 | 123 | 109 | $19.02 | |
| V2750 | Anti-reflective coating | 14 | 14 | $0.00 |