NPI: 1821327677 · SUFFOLK, VA 23434 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 200 | $9K |
| 2019 | 778 | $39K |
| 2020 | 361 | $15K |
| 2021 | 396 | $16K |
| 2022 | 393 | $19K |
| 2023 | 2,282 | $121K |
| 2024 | 1,293 | $80K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,779 | 1,778 | $105K |
| 92014 | 1,272 | 1,272 | $63K | |
| 92004 | 1,137 | 1,137 | $60K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 932 | 931 | $52K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 255 | 255 | $15K |
| V2100 | Lens spher single plano 4.00 | 45 | 45 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 24 | 24 | $892.50 |
| V2025 | Eyeglasses delux frames | 12 | 12 | $600.00 |
| V2784 | Lens polycarb or equal | 41 | 41 | $0.00 |
| 92015 | 206 | 206 | $0.00 |