NPI: 1710212238 · OWINGS MILLS, MD 21117 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,165 | $45K |
| 2021 | 2,036 | $44K |
| 2022 | 318 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,069 | 975 | $31K | |
| V2100 | Lens spher single plano 4.00 | 1,039 | 951 | $22K |
| V2020 | Vision svcs frames purchases | 1,277 | 1,175 | $19K |
| 92004 | 355 | 329 | $10K | |
| V2200 | Lens spher bifoc plano 4.00d | 245 | 232 | $7K |
| V2784 | Lens polycarb or equal | 484 | 446 | $5K |
| S0621 | Routine ophthalmological exa | 34 | 34 | $2K |
| S0580 | Polycarb lens | 16 | 15 | $91.00 |