NPI: 1720154057 · CHESAPEAKE, VA 23324 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,299 | $44K |
| 2022 | 1,634 | $58K |
| 2023 | 781 | $42K |
| 2024 | 2,315 | $127K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Eyeglasses delux frames | 1,364 | 1,362 | $78K |
| 92014 | 1,106 | 1,086 | $56K | |
| V2020 | Vision svcs frames purchases | 583 | 583 | $52K |
| V2100 | Lens spher single plano 4.00 | 877 | 876 | $31K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 620 | 620 | $24K |
| 92004 | 369 | 366 | $21K | |
| 92015 | 933 | 923 | $3K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 40 | 40 | $2K |
| 92250 | 111 | 109 | $2K | |
| 92012 | 13 | 12 | $287.00 | |
| V2784 | Lens polycarb or equal | 13 | 13 | $200.00 |