NPI: 1437137924 · EASTON, MD 21601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,142 | $540.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 402 | 324 | $387.96 | |
| 92015 | 475 | 371 | $152.16 | |
| V2784 | Lens polycarb or equal | 544 | 448 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 646 | 533 | $0.00 |
| V2744 | Tint photochromatic lens/es | 29 | 29 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 33 | 26 | $0.00 |
| V2750 | Anti-reflective coating | 90 | 83 | $0.00 |
| V2020 | Vision svcs frames purchases | 923 | 743 | $0.00 |