NPI: 1932772126 · DUNDALK, MD 21222 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,988 | $35K |
| 2023 | 1,256 | $40K |
| 2024 | 1,472 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 564 | 538 | $28K |
| V2020 | Vision svcs frames purchases | 1,311 | 1,261 | $26K |
| 92340 | 785 | 747 | $22K | |
| S0621 | Routine ophthalmological exa | 384 | 359 | $19K |
| V2100 | Lens spher single plano 4.00 | 492 | 470 | $8K |
| 92004 | 285 | 280 | $8K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 219 | 204 | $6K |
| V2784 | Lens polycarb or equal | 413 | 392 | $4K |
| 92014 | 12 | 12 | $390.00 | |
| 92015 | 225 | 219 | $0.00 | |
| V2750 | Anti-reflective coating | 26 | 26 | $0.00 |