NPI: 1912275207 · LAUREL, MD 20707 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 309 | $534.00 |
| 2021 | 292 | $1K |
| 2022 | 778 | $2K |
| 2023 | 2,313 | $23K |
| 2024 | 1,937 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,797 | 1,581 | $16K |
| V2100 | Lens spher single plano 4.00 | 1,415 | 1,267 | $13K |
| 92004 | 656 | 599 | $13K | |
| 92014 | 212 | 200 | $4K | |
| V2784 | Lens polycarb or equal | 1,064 | 971 | $4K |
| V2781 | Progressive lens per lens | 13 | 12 | $96.00 |
| V2750 | Anti-reflective coating | 280 | 257 | $0.00 |
| V2744 | Tint photochromatic lens/es | 80 | 70 | $0.00 |
| V2799 | Misc vision item or service | 93 | 79 | $0.00 |
| V2755 | Uv lens/es | 19 | 13 | $0.00 |