NPI: 1407323397 · MORGANTOWN, WV 26506 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 345 | $15K |
| 2021 | 754 | $33K |
| 2022 | 717 | $32K |
| 2023 | 858 | $37K |
| 2024 | 1,039 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,519 | 1,450 | $99K |
| S0580 | Polycarb lens | 1,428 | 1,368 | $37K |
| V2107 | Spherocylinder 4.25d/12-2d | 247 | 242 | $11K |
| V2730 | Special base curve | 424 | 411 | $9K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 44 | 44 | $2K |
| V2108 | Spherocylinder 4.25d/2.12-4d | 26 | 26 | $1K |
| V2784 | Lens polycarb or equal | 13 | 13 | $375.00 |
| V2780 | Oversize lens/es | 12 | 12 | $105.00 |