NPI: 1376584375 · NOTTINGHAM, MD 21236 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,446 | $26K |
| 2021 | 3,259 | $64K |
| 2022 | 1,555 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 910 | 814 | $33K | |
| 92004 | 985 | 924 | $31K | |
| V2020 | Vision svcs frames purchases | 1,200 | 1,097 | $15K |
| S0620 | Routine ophthalmological exa | 252 | 247 | $12K |
| V2100 | Lens spher single plano 4.00 | 859 | 762 | $12K |
| 92340 | 246 | 236 | $7K | |
| V2784 | Lens polycarb or equal | 468 | 417 | $3K |
| S0621 | Routine ophthalmological exa | 35 | 34 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 46 | 45 | $1K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $330.00 |
| 92015 | 1,234 | 1,118 | $0.00 | |
| V2750 | Anti-reflective coating | 13 | 13 | $0.00 |