NPI: 1841453198 · WINCHESTER, VA 22601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 553 | $26K |
| 2019 | 561 | $30K |
| 2020 | 182 | $7K |
| 2021 | 467 | $19K |
| 2022 | 569 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 692 | 692 | $31K | |
| 92004 | 506 | 506 | $25K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 327 | 267 | $18K |
| V2020 | Vision svcs frames purchases | 503 | 502 | $13K |
| V2410 | Lens variab asphericity sing | 115 | 115 | $11K |
| V2784 | Lens polycarb or equal | 134 | 134 | $4K |
| V2100 | Lens spher single plano 4.00 | 55 | 43 | $3K |