NPI: 1972697241 · FALLS CHURCH, VA 22044 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 150 | $8K |
| 2019 | 1,102 | $26K |
| 2020 | 1,315 | $27K |
| 2021 | 2,730 | $58K |
| 2022 | 3,283 | $79K |
| 2023 | 3,757 | $119K |
| 2024 | 2,988 | $85K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 4,000 | 3,921 | $176K | |
| V2020 | Vision svcs frames purchases | 2,380 | 2,332 | $73K |
| V2100 | Lens spher single plano 4.00 | 2,435 | 2,382 | $71K |
| S0500 | Dispos cont lens | 471 | 471 | $63K |
| V2784 | Lens polycarb or equal | 2,202 | 2,152 | $14K |
| S0620 | Routine ophthalmological exa | 94 | 94 | $4K |
| V2025 | Eyeglasses delux frames | 45 | 42 | $1K |
| V2750 | Anti-reflective coating | 20 | 19 | $124.12 |
| 92015 | 3,310 | 3,245 | $0.00 | |
| 99199 | 294 | 294 | $0.00 | |
| 92250 | 52 | 52 | $0.00 | |
| 2023F | 22 | 17 | $0.00 |