NPI: 1609017573 · MANASSAS, VA 20109 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 107 | $40.00 |
| 2019 | 588 | $11K |
| 2020 | 149 | $5K |
| 2021 | 368 | $9K |
| 2022 | 408 | $18K |
| 2023 | 667 | $27K |
| 2024 | 1,542 | $60K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 811 | 754 | $48K | |
| V2020 | Vision svcs frames purchases | 983 | 931 | $32K |
| 92014 | 402 | 360 | $26K | |
| V2100 | Lens spher single plano 4.00 | 436 | 403 | $8K |
| 92015 | 802 | 751 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 97 | 86 | $6K |
| 92340 | 209 | 183 | $2K | |
| V2025 | Eyeglasses delux frames | 57 | 56 | $1K |
| V2784 | Lens polycarb or equal | 32 | 28 | $258.89 |