NPI: 1427579887 · GEORGETOWN, DE 19947 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 81 | $99.48 |
| 2019 | 205 | $796.46 |
| 2020 | 271 | $10K |
| 2021 | 353 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 506 | 403 | $12K |
| 99214 | 101 | 65 | $6K | |
| S0621 | Routine ophthalmological exa | 35 | 26 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 66 | 54 | $2K |
| 92015 | 132 | 110 | $942.35 | |
| V2784 | Lens polycarb or equal | 24 | 13 | $483.08 |
| 99203 | 20 | 15 | $109.74 | |
| S0620 | Routine ophthalmological exa | 26 | 26 | $0.00 |