NPI: 1326475112 · BALA CYNWYD, PA 19004 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 284 | $7K |
| 2020 | 1,979 | $53K |
| 2021 | 8,307 | $218K |
| 2022 | 6,450 | $189K |
| 2023 | 9,331 | $224K |
| 2024 | 9,226 | $217K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 14,606 | 6,103 | $372K |
| V2020 | Vision svcs frames purchases | 8,413 | 6,402 | $241K |
| 92004 | 3,107 | 3,023 | $131K | |
| 92014 | 2,714 | 2,664 | $114K | |
| 92340 | 1,156 | 1,014 | $25K | |
| V2784 | Lens polycarb or equal | 4,652 | 2,023 | $20K |
| V2755 | Uv lens/es | 596 | 167 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 34 | 24 | $989.76 |
| 92015 | 211 | 209 | $935.10 | |
| 92250 | 88 | 87 | $35.00 |