NPI: 1922189455 · BALTIMORE, MD 21236 · Eyewear Supplier
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,630 | $1K |
| 2021 | 1,916 | $3K |
| 2022 | 1,861 | $6K |
| 2023 | 6,137 | $41K |
| 2024 | 3,720 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,262 | 2,120 | $38K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4,636 | 3,798 | $27K |
| V2020 | Frames, purchases | 5,214 | 4,259 | $25K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2,907 | 2,382 | $7K |
| 92310 | 35 | 29 | $568.80 | |
| 92014 | 60 | 53 | $210.00 | |
| V2300 | Sphere, trifocal, plano to plus or minus 4.00d, per lens | 51 | 42 | $0.00 |
| V2781 | Progressive lens, per lens | 49 | 42 | $0.00 |
| 92250 | 50 | 46 | $0.00 |