NPI: 1851507511 · ALLENTOWN, PA 18103 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 186 | $6K |
| 2020 | 557 | $15K |
| 2021 | 1,760 | $47K |
| 2022 | 1,727 | $46K |
| 2023 | 2,072 | $53K |
| 2024 | 711 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 1,914 | 946 | $64K |
| 92014 | 1,367 | 1,344 | $55K | |
| V2020 | Vision svcs frames purchases | 1,304 | 1,145 | $46K |
| V2784 | Lens polycarb or equal | 1,424 | 618 | $8K |
| V2750 | Anti-reflective coating | 472 | 256 | $6K |
| 92012 | 90 | 90 | $4K | |
| V2760 | Scratch resistant coating | 326 | 175 | $2K |
| S0620 | Routine ophthalmological exa | 75 | 51 | $2K |
| V2523 | Cntct lens hydrophil extend | 13 | 13 | $1K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 28 | 12 | $748.72 |