NPI: 1295827178 · BRIDGEPORT, WV 26330 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,203 | $102K |
| 2019 | 913 | $41K |
| 2020 | 1,713 | $81K |
| 2021 | 1,538 | $70K |
| 2022 | 1,514 | $69K |
| 2023 | 1,191 | $53K |
| 2024 | 1,098 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,490 | 2,406 | $157K |
| 92014 | 1,287 | 1,241 | $98K | |
| S0580 | Polycarb lens | 2,073 | 2,026 | $61K |
| V2100 | Lens spher single plano 4.00 | 1,477 | 1,423 | $49K |
| 92004 | 511 | 506 | $45K | |
| 92015 | 1,762 | 1,709 | $34K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 434 | 431 | $18K |
| 92225 | 136 | 135 | $4K |