NPI: 1245224187 · UPPER DARBY, PA 19082 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 31 | $108.50 |
| 2020 | 327 | $14K |
| 2021 | 1,542 | $60K |
| 2022 | 1,914 | $69K |
| 2023 | 2,033 | $74K |
| 2024 | 1,916 | $71K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,590 | 1,553 | $74K | |
| 92014 | 1,910 | 1,852 | $70K | |
| 92250 | 1,469 | 1,436 | $63K | |
| 92083 | 779 | 760 | $36K | |
| 92012 | 760 | 732 | $16K | |
| 92133 | 463 | 449 | $11K | |
| V2020 | Vision svcs frames purchases | 343 | 215 | $10K |
| 99243 | 57 | 57 | $4K | |
| 92020 | 250 | 247 | $3K | |
| 99212 | 13 | 13 | $283.69 | |
| 92015 | 31 | 31 | $108.50 | |
| V2784 | Lens polycarb or equal | 98 | 25 | $0.00 |