NPI: 1588756217 · BALTIMORE, MD 21217 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,325 | $22K |
| 2021 | 435 | $7K |
| 2022 | 127 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 667 | 578 | $8K |
| 92012 | 201 | 175 | $6K | |
| 92014 | 155 | 111 | $4K | |
| V2781 | Progressive lens per lens | 78 | 67 | $3K |
| V2784 | Lens polycarb or equal | 141 | 92 | $2K |
| V2299 | Lens bifocal speciality | 77 | 66 | $2K |
| 92004 | 72 | 45 | $1K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 88 | 42 | $1K |
| V2100 | Lens spher single plano 4.00 | 57 | 51 | $920.56 |
| V2025 | Eyeglasses delux frames | 71 | 39 | $775.00 |
| 92340 | 57 | 29 | $724.88 | |
| 92015 | 223 | 177 | $342.36 |