NPI: 1174512453 · BECKLEY, WV 25801 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,967 | $117K |
| 2019 | 430 | $24K |
| 2020 | 1,104 | $62K |
| 2021 | 831 | $43K |
| 2022 | 40 | $2K |
| 2024 | 13 | $772.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 908 | 893 | $68K | |
| V2020 | Vision svcs frames purchases | 992 | 974 | $64K |
| 92004 | 493 | 485 | $44K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 758 | 743 | $31K |
| 92015 | 931 | 919 | $22K | |
| 92250 | 180 | 173 | $13K | |
| V2100 | Lens spher single plano 4.00 | 101 | 101 | $5K |
| V2784 | Lens polycarb or equal | 22 | 22 | $26.88 |