NPI: 1356724769 · GAITHERSBURG, MD 20878 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,800 | $65K |
| 2021 | 4,418 | $84K |
| 2022 | 2,809 | $36K |
| 2024 | 14 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,266 | 1,922 | $51K | |
| 92004 | 1,993 | 1,749 | $43K | |
| V2100 | Lens spher single plano 4.00 | 2,251 | 1,939 | $40K |
| V2020 | Vision svcs frames purchases | 2,750 | 2,360 | $29K |
| V2784 | Lens polycarb or equal | 1,154 | 992 | $9K |
| 92310 | 410 | 344 | $9K | |
| V2300 | Lens sphere trifocal 4.00d | 149 | 121 | $5K |
| V2500 | Contact lens pmma spherical | 68 | 59 | $1K |