NPI: 1154301190 · DUMFRIES, VA 22026 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 453 | $18K |
| 2019 | 218 | $11K |
| 2020 | 383 | $6K |
| 2021 | 758 | $13K |
| 2022 | 1,474 | $26K |
| 2023 | 1,035 | $16K |
| 2024 | 736 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 1,224 | 1,189 | $42K |
| V2020 | Vision svcs frames purchases | 910 | 882 | $16K |
| 92004 | 406 | 405 | $16K | |
| 92014 | 385 | 379 | $15K | |
| V2784 | Lens polycarb or equal | 809 | 786 | $5K |
| S0621 | Routine ophthalmological exa | 109 | 109 | $5K |
| V2025 | Eyeglasses delux frames | 30 | 30 | $1K |
| S0620 | Routine ophthalmological exa | 14 | 14 | $635.00 |
| 92015 | 1,170 | 1,145 | $0.00 |