NPI: 1568438786 · CAMP HILL, PA 17011 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 38 | $2K |
| 2021 | 490 | $17K |
| 2022 | 486 | $16K |
| 2023 | 205 | $6K |
| 2024 | 153 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 368 | 326 | $18K |
| S0621 | Routine ophthalmological exa | 335 | 303 | $10K |
| V2100 | Lens spher single plano 4.00 | 288 | 254 | $7K |
| S0620 | Routine ophthalmological exa | 189 | 178 | $6K |
| 92004 | 88 | 88 | $3K | |
| V2784 | Lens polycarb or equal | 39 | 28 | $1K |
| 92014 | 13 | 13 | $450.00 | |
| 92250 | 52 | 26 | $0.00 |