NPI: 1548638810 · MANASSAS, VA 20110 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 879 | $21K |
| 2019 | 288 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 367 | 367 | $10K |
| 92002 | 322 | 322 | $9K | |
| V2784 | Lens polycarb or equal | 158 | 158 | $3K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 224 | 224 | $3K |
| 92014 | 55 | 55 | $2K | |
| V2100 | Lens spher single plano 4.00 | 29 | 29 | $297.13 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $292.87 |