NPI: 1003393273 · WEST WARWICK, RI 02893 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 27 | $0.00 |
| 2022 | 7,120 | $250K |
| 2023 | 1,622 | $51K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 908 | 905 | $65K | |
| 99213 | 743 | 707 | $36K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 707 | 696 | $34K |
| 92014 | 766 | 758 | $33K | |
| V2020 | Vision svcs frames purchases | 1,258 | 1,232 | $23K |
| 92340 | 1,180 | 1,138 | $21K | |
| 92250 | 553 | 541 | $18K | |
| S0580 | Polycarb lens | 813 | 782 | $14K |
| 92004 | 250 | 245 | $13K | |
| 99203 | 146 | 145 | $12K | |
| 92015 | 545 | 503 | $10K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 93 | 93 | $5K |
| V2100 | Lens spher single plano 4.00 | 92 | 85 | $4K |
| 92083 | 110 | 106 | $4K | |
| 92133 | 152 | 152 | $4K | |
| 92370 | 313 | 302 | $3K | |
| V2303 | Lens sphcy trifocal 4.0/.12- | 13 | 13 | $1K |
| 92341 | 58 | 57 | $1K | |
| V2202 | Lens sphere bifocal 7.12-20. | 12 | 12 | $789.36 |
| 92342 | 33 | 32 | $683.56 | |
| 92201 | 24 | 24 | $290.96 |