NPI: 1356655047 · BETHLEHEM, PA 18017 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 536 | $14K |
| 2020 | 434 | $14K |
| 2021 | 4,077 | $114K |
| 2022 | 3,513 | $102K |
| 2023 | 3,591 | $105K |
| 2024 | 3,278 | $87K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 4,925 | 2,220 | $171K |
| V2020 | Vision svcs frames purchases | 3,356 | 2,692 | $103K |
| 92014 | 2,472 | 2,415 | $99K | |
| 92004 | 794 | 791 | $32K | |
| V2744 | Tint photochromatic lens/es | 471 | 286 | $11K |
| 92012 | 146 | 144 | $6K | |
| V2784 | Lens polycarb or equal | 2,960 | 953 | $4K |
| V2200 | Lens spher bifoc plano 4.00d | 60 | 37 | $3K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 84 | 29 | $2K |
| V2299 | Lens bifocal speciality | 53 | 30 | $2K |
| V2781 | Progressive lens per lens | 73 | 43 | $2K |
| V2025 | Eyeglasses delux frames | 35 | 35 | $415.80 |