NPI: 1588919575 · EXTON, PA 19341 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,186 | $31K |
| 2021 | 4,901 | $123K |
| 2022 | 3,583 | $93K |
| 2023 | 5,924 | $138K |
| 2024 | 4,828 | $105K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 7,381 | 3,858 | $170K |
| V2020 | Vision svcs frames purchases | 5,098 | 4,106 | $126K |
| 92014 | 1,989 | 1,947 | $84K | |
| 92004 | 1,273 | 1,228 | $54K | |
| 92340 | 1,820 | 1,635 | $39K | |
| V2784 | Lens polycarb or equal | 2,160 | 1,135 | $14K |
| 92015 | 621 | 617 | $3K | |
| V2750 | Anti-reflective coating | 12 | 12 | $413.50 |
| V2755 | Uv lens/es | 68 | 24 | $390.00 |