NPI: 1760420418 · WALDORF, MD 20601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,428 | $22K |
| 2021 | 2,777 | $34K |
| 2022 | 2,904 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 1,436 | 1,381 | $24K |
| V2020 | Vision svcs frames purchases | 1,625 | 1,561 | $20K |
| 92004 | 965 | 893 | $19K | |
| 92014 | 831 | 762 | $17K | |
| V2784 | Lens polycarb or equal | 1,148 | 1,107 | $8K |
| V2781 | Progressive lens per lens | 24 | 24 | $660.00 |
| V2299 | Lens bifocal speciality | 24 | 24 | $452.40 |
| 92015 | 772 | 717 | $0.00 | |
| V2750 | Anti-reflective coating | 284 | 263 | $0.00 |