NPI: 1033151295 · COVENTRY, RI 02816 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 688 | $13K |
| 2019 | 276 | $5K |
| 2020 | 371 | $8K |
| 2021 | 1,226 | $31K |
| 2022 | 626 | $13K |
| 2023 | 85 | $2K |
| 2024 | 128 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 940 | 905 | $22K | |
| V2020 | Vision svcs frames purchases | 1,109 | 1,071 | $17K |
| 92014 | 304 | 290 | $10K | |
| 92340 | 592 | 568 | $9K | |
| 92004 | 175 | 170 | $9K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 129 | 125 | $5K |
| 92250 | 51 | 48 | $2K | |
| S0580 | Polycarb lens | 39 | 39 | $776.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $639.98 |
| 99213 | 12 | 12 | $536.68 | |
| 92341 | 25 | 24 | $448.96 | |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $270.29 |