NPI: 1588745954 · BUTLER, PA 16001 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 163 | $6K |
| 2021 | 264 | $7K |
| 2024 | 449 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Eyeglasses delux frames | 193 | 193 | $11K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 196 | 177 | $6K |
| V2100 | Lens spher single plano 4.00 | 98 | 92 | $6K |
| V2020 | Vision svcs frames purchases | 313 | 251 | $5K |
| 92004 | 33 | 26 | $1K | |
| 92002 | 13 | 12 | $520.00 | |
| V2784 | Lens polycarb or equal | 30 | 28 | $301.00 |