NPI: 1790023331 · MIDLOTHIAN, VA 23113 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 63 | $2K |
| 2020 | 180 | $6K |
| 2021 | 291 | $10K |
| 2022 | 538 | $22K |
| 2023 | 1,132 | $44K |
| 2024 | 923 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 834 | 828 | $49K |
| 92004 | 883 | 878 | $43K | |
| 92014 | 361 | 358 | $16K | |
| V2100 | Lens spher single plano 4.00 | 284 | 284 | $12K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 94 | 94 | $5K |
| V2784 | Lens polycarb or equal | 124 | 124 | $1K |
| V2025 | Eyeglasses delux frames | 15 | 15 | $493.69 |
| 92015 | 532 | 525 | $16.44 |