NPI: 1922371392 · BALTIMORE, MD 21228 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 107 | $10K |
| 2022 | 200 | $0.00 |
| 2023 | 998 | $8K |
| 2024 | 7,802 | $92K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,581 | 2,466 | $37K | |
| V2020 | Vision svcs frames purchases | 2,403 | 2,304 | $33K |
| V2100 | Lens spher single plano 4.00 | 1,829 | 1,758 | $18K |
| 92014 | 119 | 119 | $11K | |
| V2200 | Lens spher bifoc plano 4.00d | 217 | 216 | $4K |
| V2784 | Lens polycarb or equal | 1,173 | 1,149 | $3K |
| V2299 | Lens bifocal speciality | 99 | 99 | $2K |
| V2781 | Progressive lens per lens | 99 | 99 | $2K |
| V2744 | Tint photochromatic lens/es | 187 | 186 | $0.00 |
| V2750 | Anti-reflective coating | 400 | 399 | $0.00 |