NPI: 1811987555 · KITTANNING, PA 16201 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 177 | $7K |
| 2021 | 1,380 | $49K |
| 2022 | 1,048 | $39K |
| 2023 | 826 | $40K |
| 2024 | 204 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,254 | 1,229 | $78K |
| S0621 | Routine ophthalmological exa | 1,084 | 1,058 | $33K |
| V2100 | Lens spher single plano 4.00 | 597 | 579 | $17K |
| V2784 | Lens polycarb or equal | 372 | 364 | $14K |
| S0620 | Routine ophthalmological exa | 108 | 108 | $3K |
| 92014 | 68 | 68 | $3K | |
| 92015 | 140 | 140 | $472.50 | |
| 92340 | 12 | 12 | $120.00 |