NPI: 1508106618 · HAVERTOWN, PA 19083 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 306 | $7K |
| 2020 | 1,799 | $49K |
| 2021 | 9,831 | $243K |
| 2022 | 6,492 | $175K |
| 2023 | 10,595 | $239K |
| 2024 | 9,545 | $209K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 15,081 | 6,313 | $386K |
| V2020 | Vision svcs frames purchases | 8,567 | 6,561 | $236K |
| 92004 | 3,353 | 3,241 | $139K | |
| 92014 | 2,420 | 2,335 | $100K | |
| 92340 | 997 | 851 | $23K | |
| V2784 | Lens polycarb or equal | 5,144 | 2,273 | $22K |
| V2755 | Uv lens/es | 2,802 | 1,059 | $14K |
| V2200 | Lens spher bifoc plano 4.00d | 35 | 25 | $1K |
| V2750 | Anti-reflective coating | 65 | 38 | $810.70 |
| 92015 | 104 | 104 | $457.40 |