NPI: 1720073869 · HAMPTON, VA 23666 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 333 | $15K |
| 2019 | 369 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 172 | 172 | $12K |
| S0621 | Routine ophthalmological exa | 182 | 182 | $8K |
| S0620 | Routine ophthalmological exa | 161 | 161 | $7K |
| V2020 | Vision svcs frames purchases | 116 | 116 | $2K |
| 92004 | 26 | 26 | $1K | |
| V2025 | Eyeglasses delux frames | 30 | 30 | $450.00 |
| V2760 | Scratch resistant coating | 15 | 15 | $300.00 |