NPI: 1780704767 · WILMINGTON, DE 19801 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 368 | $0.00 |
| 2019 | 3,352 | $83K |
| 2020 | 2,719 | $95K |
| 2021 | 2,606 | $93K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 3,137 | 3,089 | $157K |
| V2020 | Vision svcs frames purchases | 3,569 | 3,500 | $64K |
| V2784 | Lens polycarb or equal | 1,302 | 1,266 | $28K |
| V2025 | Eyeglasses delux frames | 697 | 697 | $8K |
| V2200 | Lens spher bifoc plano 4.00d | 232 | 230 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 108 | 108 | $6K |