NPI: 1831287358 · HENRICO, VA 23233 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 73 | $190.77 |
| 2019 | 704 | $17K |
| 2020 | 546 | $10K |
| 2021 | 1,294 | $34K |
| 2022 | 1,221 | $33K |
| 2023 | 1,174 | $47K |
| 2024 | 1,107 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,085 | 1,067 | $50K | |
| V2100 | Lens spher single plano 4.00 | 1,230 | 1,192 | $38K |
| V2020 | Vision svcs frames purchases | 584 | 573 | $36K |
| V2025 | Eyeglasses delux frames | 689 | 686 | $31K |
| 92014 | 691 | 687 | $29K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 183 | 183 | $10K |
| V2784 | Lens polycarb or equal | 13 | 13 | $78.00 |
| V2750 | Anti-reflective coating | 13 | 13 | $16.77 |
| 92015 | 1,614 | 1,598 | $0.00 | |
| 99199 | 17 | 17 | $0.00 |