NPI: 1942210034 · ARLINGTON, VA 22205 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 174 | $8K |
| 2019 | 120 | $6K |
| 2021 | 29 | $2K |
| 2024 | 32 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 97 | 97 | $7K |
| 92014 | 41 | 41 | $4K | |
| S0621 | Routine ophthalmological exa | 42 | 42 | $2K |
| 92004 | 13 | 13 | $2K | |
| 92015 | 73 | 72 | $1K | |
| V2025 | Eyeglasses delux frames | 29 | 29 | $585.00 |
| V2020 | Vision svcs frames purchases | 35 | 35 | $310.96 |
| V2760 | Scratch resistant coating | 25 | 25 | $240.00 |