NPI: 1427089259 · TAKOMA PARK, MD 20912 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 736 | $13K |
| 2019 | 479 | $9K |
| 2020 | 658 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 994 | 976 | $23K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 522 | 513 | $6K |
| V2784 | Lens polycarb or equal | 225 | 224 | $4K |
| 92014 | 67 | 67 | $2K | |
| 92002 | 25 | 25 | $786.05 | |
| V2100 | Lens spher single plano 4.00 | 28 | 28 | $310.73 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $213.63 |