NPI: 1790060887 · ROSEDALE, MD 21237 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,708 | $2K |
| 2021 | 4,628 | $15K |
| 2022 | 2,949 | $11K |
| 2023 | 5,484 | $44K |
| 2024 | 2,807 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 6,609 | 5,681 | $32K |
| V2100 | Lens spher single plano 4.00 | 5,578 | 4,789 | $32K |
| 92004 | 1,272 | 1,178 | $15K | |
| 92014 | 1,160 | 1,073 | $14K | |
| V2784 | Lens polycarb or equal | 3,453 | 2,930 | $8K |
| V2300 | Lens sphere trifocal 4.00d | 207 | 183 | $2K |
| V2500 | Contact lens pmma spherical | 28 | 24 | $168.00 |
| 92310 | 29 | 29 | $90.00 | |
| V2781 | Progressive lens per lens | 115 | 100 | $48.00 |
| 92250 | 108 | 91 | $0.00 | |
| V2200 | Lens spher bifoc plano 4.00d | 17 | 12 | $0.00 |