NPI: 1750324596 · WEST HAZLETON, PA 18202 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 98 | $3K |
| 2021 | 871 | $39K |
| 2022 | 833 | $27K |
| 2023 | 798 | $33K |
| 2024 | 498 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 473 | 441 | $29K |
| V2520 | Contact lens hydrophilic | 80 | 77 | $27K |
| 92014 | 588 | 562 | $25K | |
| 99214 | 329 | 263 | $17K | |
| V2020 | Vision svcs frames purchases | 500 | 456 | $6K |
| 92015 | 994 | 960 | $4K | |
| 92004 | 72 | 72 | $4K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 43 | 40 | $1K |
| 92083 | 19 | 14 | $787.92 |