NPI: 1255869079 · PLYMOUTH MEETING, PA 19462 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 885 | $26K |
| 2021 | 3,301 | $90K |
| 2022 | 3,284 | $97K |
| 2023 | 5,178 | $123K |
| 2024 | 4,793 | $107K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 7,424 | 3,206 | $192K |
| V2020 | Vision svcs frames purchases | 4,229 | 3,338 | $116K |
| 92004 | 1,685 | 1,625 | $70K | |
| 92014 | 1,216 | 1,197 | $50K | |
| V2784 | Lens polycarb or equal | 2,605 | 1,208 | $11K |
| 92340 | 68 | 62 | $1K | |
| V2755 | Uv lens/es | 138 | 55 | $648.00 |
| V2750 | Anti-reflective coating | 49 | 26 | $629.00 |
| 92015 | 13 | 13 | $49.50 | |
| 92250 | 14 | 13 | $0.00 |