NPI: 1154552453 · MILFORD, DE 19963 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 591 | $32K |
| 2024 | 123 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 209 | 199 | $11K |
| S0621 | Routine ophthalmological exa | 157 | 154 | $10K |
| S0620 | Routine ophthalmological exa | 130 | 129 | $9K |
| V2100 | Lens spher single plano 4.00 | 145 | 139 | $5K |
| V2784 | Lens polycarb or equal | 32 | 32 | $2K |
| 99213 | 14 | 14 | $1K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 27 | 27 | $900.00 |