NPI: 1942495379 · BLOOMSBURG, PA 17815 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 91 | $3K |
| 2020 | 202 | $7K |
| 2021 | 1,335 | $42K |
| 2022 | 2,361 | $71K |
| 2023 | 3,384 | $98K |
| 2024 | 3,579 | $100K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 2,865 | 1,662 | $104K |
| 92014 | 1,706 | 1,648 | $74K | |
| V2020 | Vision svcs frames purchases | 2,482 | 1,880 | $48K |
| 92004 | 649 | 640 | $33K | |
| V2100 | Lens spher single plano 4.00 | 1,140 | 506 | $30K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 752 | 517 | $25K |
| 92015 | 1,335 | 1,284 | $6K | |
| V2750 | Anti-reflective coating | 23 | 12 | $363.00 |