NPI: 1841355856 · LORTON, VA 22079 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 98 | $2K |
| 2020 | 210 | $3K |
| 2021 | 128 | $2K |
| 2022 | 117 | $7K |
| 2023 | 869 | $32K |
| 2024 | 751 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 395 | 382 | $26K | |
| V2020 | Vision svcs frames purchases | 642 | 626 | $25K |
| 92014 | 231 | 229 | $16K | |
| 92015 | 544 | 522 | $4K | |
| V2100 | Lens spher single plano 4.00 | 134 | 125 | $2K |
| 92340 | 144 | 139 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 16 | 13 | $724.50 |
| V2025 | Eyeglasses delux frames | 12 | 12 | $295.90 |
| V2760 | Scratch resistant coating | 55 | 52 | $63.00 |