NPI: 1669833471 · CHAMBERSBURG, PA 17201 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 374 | $8K |
| 2020 | 400 | $11K |
| 2021 | 1,653 | $39K |
| 2022 | 890 | $21K |
| 2023 | 729 | $20K |
| 2024 | 862 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 2,142 | 1,182 | $60K |
| V2020 | Vision svcs frames purchases | 1,696 | 1,437 | $40K |
| 92004 | 195 | 186 | $8K | |
| 92014 | 197 | 193 | $8K | |
| 92340 | 106 | 106 | $3K | |
| V2784 | Lens polycarb or equal | 470 | 225 | $2K |
| V2750 | Anti-reflective coating | 64 | 32 | $272.16 |
| V2755 | Uv lens/es | 38 | 16 | $170.70 |