NPI: 1134166549 · LEBANON, PA 17046 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 156 | $5K |
| 2021 | 1,172 | $35K |
| 2022 | 1,218 | $38K |
| 2023 | 2,456 | $78K |
| 2024 | 161 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,379 | 1,331 | $54K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 978 | 704 | $42K |
| V2020 | Vision svcs frames purchases | 1,738 | 1,649 | $29K |
| 92014 | 646 | 610 | $25K | |
| V2100 | Lens spher single plano 4.00 | 173 | 160 | $10K |
| 92012 | 14 | 14 | $560.00 | |
| V2750 | Anti-reflective coating | 235 | 177 | $255.16 |