NPI: 1689189003 · ALLENTOWN, PA 18104 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 260 | $7K |
| 2020 | 621 | $17K |
| 2021 | 1,278 | $35K |
| 2022 | 2,244 | $62K |
| 2023 | 1,956 | $53K |
| 2024 | 1,426 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 2,820 | 1,276 | $93K |
| V2020 | Vision svcs frames purchases | 1,874 | 1,521 | $58K |
| 92004 | 788 | 768 | $32K | |
| 92014 | 649 | 645 | $26K | |
| V2784 | Lens polycarb or equal | 1,514 | 523 | $3K |
| V2750 | Anti-reflective coating | 86 | 41 | $1K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 42 | 13 | $1K |
| 92012 | 12 | 12 | $480.00 |