NPI: 1609362649 · FORESTVILLE, MD 20747 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 7,929 | $117K |
| 2021 | 11,129 | $157K |
| 2022 | 6,369 | $82K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 4,431 | 4,189 | $96K | |
| V2100 | Lens spher single plano 4.00 | 5,007 | 4,835 | $88K |
| V2020 | Vision svcs frames purchases | 5,467 | 5,269 | $71K |
| 92004 | 1,615 | 1,511 | $33K | |
| V2784 | Lens polycarb or equal | 3,704 | 3,568 | $27K |
| V2781 | Progressive lens per lens | 593 | 565 | $21K |
| V2299 | Lens bifocal speciality | 599 | 571 | $15K |
| V2200 | Lens spher bifoc plano 4.00d | 256 | 249 | $6K |
| V2750 | Anti-reflective coating | 1,078 | 1,024 | $0.00 |
| 92015 | 2,595 | 2,401 | $0.00 | |
| V2744 | Tint photochromatic lens/es | 82 | 76 | $0.00 |