NPI: 1437126422 · HOPEWELL, VA 23860 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 957 | $43K |
| 2019 | 677 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 579 | 577 | $42K |
| S0621 | Routine ophthalmological exa | 328 | 328 | $15K |
| S0620 | Routine ophthalmological exa | 136 | 136 | $6K |
| V2020 | Vision svcs frames purchases | 373 | 371 | $4K |
| 92014 | 68 | 63 | $3K | |
| V2025 | Eyeglasses delux frames | 122 | 122 | $3K |
| 92004 | 28 | 28 | $1K |