NPI: 1588788905 · GLEN ALLEN, VA 23060 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $560.88 |
| 2019 | 114 | $2K |
| 2020 | 788 | $14K |
| 2021 | 1,892 | $39K |
| 2022 | 1,062 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 697 | 690 | $28K | |
| V2100 | Lens spher single plano 4.00 | 809 | 795 | $22K |
| V2025 | Eyeglasses delux frames | 441 | 429 | $16K |
| V2020 | Vision svcs frames purchases | 336 | 334 | $6K |
| 92014 | 84 | 84 | $3K | |
| V2784 | Lens polycarb or equal | 545 | 542 | $2K |
| 99308 | 15 | 14 | $560.88 | |
| 92015 | 944 | 934 | $311.41 |