NPI: 1770749483 · PORTSMOUTH, VA 23708 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 3,351 | $3K |
| 2021 | 3,314 | $5K |
| 2022 | 3,136 | $2K |
| 2023 | 2,626 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,756 | 1,715 | $10K | |
| 92014 | 1,877 | 1,876 | $333.60 | |
| V2020 | Vision svcs frames purchases | 2,901 | 2,895 | $20.00 |
| 92015 | 2,531 | 2,512 | $0.00 | |
| V2750 | Anti-reflective coating | 16 | 16 | $0.00 |
| V2200 | Lens spher bifoc plano 4.00d | 216 | 215 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 2,309 | 2,302 | $0.00 |
| V2784 | Lens polycarb or equal | 821 | 817 | $0.00 |