NPI: 1851508519 · NEW CASTLE, PA 16105 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 181 | $4K |
| 2023 | 872 | $23K |
| 2024 | 288 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 497 | 464 | $15K |
| S0621 | Routine ophthalmological exa | 363 | 346 | $11K |
| V2020 | Vision svcs frames purchases | 120 | 108 | $9K |
| V2100 | Lens spher single plano 4.00 | 48 | 43 | $773.55 |
| V2784 | Lens polycarb or equal | 17 | 12 | $410.30 |
| 92015 | 230 | 206 | $0.00 | |
| 92250 | 66 | 38 | $0.00 |