NPI: 1427222603 · PETERSBURG, VA 23803 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 68 | $3K |
| 2019 | 401 | $18K |
| 2020 | 664 | $20K |
| 2021 | 1,030 | $30K |
| 2022 | 959 | $35K |
| 2023 | 895 | $40K |
| 2024 | 706 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,096 | 1,089 | $68K |
| 92004 | 948 | 937 | $49K | |
| 92014 | 986 | 983 | $44K | |
| V2100 | Lens spher single plano 4.00 | 352 | 342 | $11K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 77 | 77 | $4K |
| V2784 | Lens polycarb or equal | 383 | 383 | $3K |
| 99214 | 27 | 27 | $2K | |
| V2025 | Eyeglasses delux frames | 25 | 25 | $1K |
| 92015 | 829 | 819 | $918.36 |