NPI: 1164904819 · TOWSON, MD 21204 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 4,671 | $5K |
| 2021 | 4,305 | $0.00 |
| 2022 | 2,086 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,242 | 1,605 | $7K | |
| V2020 | Vision svcs frames purchases | 2,950 | 2,052 | $6K |
| V2100 | Lens spher single plano 4.00 | 2,536 | 1,752 | $5K |
| 92004 | 1,767 | 1,195 | $5K | |
| V2784 | Lens polycarb or equal | 1,406 | 1,031 | $1K |
| V2300 | Lens sphere trifocal 4.00d | 26 | 24 | $0.00 |
| V2500 | Contact lens pmma spherical | 39 | 31 | $0.00 |
| 92310 | 96 | 80 | $0.00 |