NPI: 1053896001 · CRANSTON, RI 02920 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 898 | $18K |
| 2020 | 1,083 | $25K |
| 2021 | 1,610 | $39K |
| 2022 | 1,160 | $30K |
| 2023 | 156 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 565 | 518 | $22K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 782 | 527 | $21K |
| 92015 | 896 | 781 | $20K | |
| V2020 | Vision svcs frames purchases | 941 | 876 | $18K |
| 92340 | 958 | 906 | $16K | |
| 92004 | 180 | 158 | $9K | |
| V2784 | Lens polycarb or equal | 539 | 317 | $9K |
| V2100 | Lens spher single plano 4.00 | 46 | 29 | $1K |