NPI: 1629306394 · NANTICOKE, PA 18634 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 30 | $772.98 |
| 2021 | 1,751 | $39K |
| 2022 | 1,507 | $32K |
| 2023 | 973 | $18K |
| 2024 | 871 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 1,406 | 682 | $44K |
| 92014 | 570 | 559 | $25K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 706 | 403 | $12K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 258 | 113 | $12K |
| V2020 | Vision svcs frames purchases | 931 | 863 | $7K |
| 92015 | 1,053 | 1,033 | $6K | |
| 92004 | 79 | 79 | $5K | |
| V2100 | Lens spher single plano 4.00 | 129 | 57 | $2K |