NPI: 1417063744 · FARMVILLE, VA 23901 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,258 | $33K |
| 2019 | 1,735 | $46K |
| 2020 | 829 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 789 | 755 | $31K | |
| V2100 | Lens spher single plano 4.00 | 877 | 860 | $28K |
| V2025 | Eyeglasses delux frames | 566 | 550 | $22K |
| 92004 | 419 | 391 | $17K | |
| V2020 | Vision svcs frames purchases | 131 | 130 | $2K |
| 92015 | 483 | 446 | $906.54 | |
| S0621 | Routine ophthalmological exa | 16 | 16 | $740.00 |
| V2784 | Lens polycarb or equal | 503 | 489 | $584.24 |
| 99199 | 38 | 38 | $0.00 |