NPI: 1174872238 · WILLOW GROVE, PA 19090 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 45 | $1K |
| 2020 | 1,238 | $36K |
| 2021 | 5,332 | $137K |
| 2022 | 3,474 | $99K |
| 2023 | 6,620 | $148K |
| 2024 | 5,035 | $121K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 9,383 | 3,753 | $237K |
| V2020 | Vision svcs frames purchases | 5,289 | 3,841 | $157K |
| 92004 | 1,542 | 1,405 | $62K | |
| 92014 | 1,485 | 1,415 | $61K | |
| V2784 | Lens polycarb or equal | 3,011 | 1,314 | $13K |
| 92340 | 369 | 325 | $8K | |
| V2750 | Anti-reflective coating | 183 | 81 | $2K |
| V2755 | Uv lens/es | 470 | 155 | $2K |
| 92015 | 12 | 12 | $53.90 |