NPI: 1124249842 · OXON HILL, MD 20745 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,942 | $35K |
| 2019 | 2,310 | $43K |
| 2020 | 3,299 | $50K |
| 2021 | 925 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,168 | 4,117 | $86K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,967 | 1,937 | $22K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 929 | 921 | $13K |
| V2100 | Lens spher single plano 4.00 | 728 | 719 | $7K |
| V2200 | Lens spher bifoc plano 4.00d | 289 | 287 | $3K |
| V2784 | Lens polycarb or equal | 241 | 235 | $3K |
| V2107 | Spherocylinder 4.25d/12-2d | 67 | 64 | $657.10 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 57 | 56 | $413.50 |
| 92014 | 12 | 12 | $375.39 | |
| V2781 | Progressive lens per lens | 18 | 18 | $213.29 |