NPI: 1902816564 · AMBRIDGE, PA 15003 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 179 | $9K |
| 2021 | 894 | $42K |
| 2022 | 1,226 | $50K |
| 2023 | 1,253 | $49K |
| 2024 | 359 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 814 | 810 | $72K |
| 92250 | 639 | 628 | $32K | |
| 92014 | 640 | 634 | $27K | |
| 92082 | 524 | 516 | $18K | |
| V2100 | Lens spher single plano 4.00 | 580 | 578 | $7K |
| 92015 | 620 | 611 | $3K | |
| 92004 | 29 | 28 | $2K | |
| S0621 | Routine ophthalmological exa | 53 | 53 | $2K |
| S0620 | Routine ophthalmological exa | 12 | 12 | $360.00 |