NPI: 1780768515 · JOHNSTOWN, PA 15904 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $445.00 |
| 2021 | 257 | $14K |
| 2022 | 379 | $20K |
| 2023 | 708 | $35K |
| 2024 | 300 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 600 | 593 | $43K |
| 92250 | 475 | 333 | $26K | |
| S0621 | Routine ophthalmological exa | 337 | 330 | $10K |
| S0620 | Routine ophthalmological exa | 217 | 217 | $7K |
| V2100 | Lens spher single plano 4.00 | 15 | 15 | $499.71 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 12 | 12 | $333.00 |