NPI: 1265961627 · ASPEN HILL, MD 20906 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 247 | $4K |
| 2021 | 3,822 | $56K |
| 2022 | 2,546 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 1,393 | 1,378 | $26K |
| 92014 | 1,143 | 1,082 | $25K | |
| V2020 | Vision svcs frames purchases | 1,501 | 1,484 | $22K |
| 92004 | 546 | 514 | $12K | |
| V2784 | Lens polycarb or equal | 1,237 | 1,222 | $7K |
| V2781 | Progressive lens per lens | 36 | 36 | $2K |
| V2299 | Lens bifocal speciality | 48 | 48 | $1K |
| V2750 | Anti-reflective coating | 325 | 315 | $0.00 |
| 92015 | 386 | 367 | $0.00 |