LUXOTTICA OF AMERICA INC
NPI: 1740333210
· ANNAPOLIS, MD 21401
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
435 |
$4K |
| 2021 |
532 |
$3K |
| 2022 |
263 |
$2K |
| 2024 |
77 |
$362.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
637 |
612 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
167 |
153 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
219 |
217 |
$2K |
| V2784 |
Lens polycarb or equal |
148 |
144 |
$806.00 |
| V2025 |
Eyeglasses delux frames |
20 |
19 |
$142.00 |
| 92014 |
|
28 |
28 |
$140.00 |
| V2750 |
Anti-reflective coating |
88 |
83 |
$0.00 |