NPI: 1164895611 · WEST HAZLETON, PA 18202 · 156F00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 218 | $3K |
| 2021 | 1,015 | $16K |
| 2022 | 1,142 | $19K |
| 2023 | 1,319 | $24K |
| 2024 | 1,138 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 824 | 667 | $33K |
| V2760 | Scratch resistant coating | 1,570 | 638 | $14K |
| V2784 | Lens polycarb or equal | 1,660 | 674 | $11K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 340 | 125 | $9K |
| 92014 | 154 | 148 | $6K | |
| 99214 | 41 | 41 | $2K | |
| 92004 | 41 | 41 | $2K | |
| 92083 | 22 | 12 | $1K | |
| 99204 | 14 | 14 | $1K | |
| 92133 | 22 | 12 | $773.44 | |
| 92020 | 30 | 29 | $581.50 | |
| 99213 | 12 | 12 | $425.25 | |
| 92015 | 102 | 94 | $40.00 |