NPI: 1134295280 · CRANSTON, RI 02920 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,257 | $34K |
| 2019 | 95 | $2K |
| 2020 | 615 | $15K |
| 2021 | 1,362 | $35K |
| 2022 | 1,211 | $30K |
| 2023 | 879 | $23K |
| 2024 | 797 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,012 | 945 | $45K |
| 92014 | 692 | 659 | $26K | |
| V2020 | Vision svcs frames purchases | 1,636 | 1,536 | $25K |
| 92015 | 939 | 892 | $21K | |
| 92340 | 991 | 929 | $16K | |
| 92250 | 368 | 361 | $9K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 137 | 124 | $8K |
| 92341 | 195 | 179 | $3K | |
| V2784 | Lens polycarb or equal | 147 | 140 | $3K |
| 99214 | 42 | 40 | $3K | |
| S0580 | Polycarb lens | 30 | 27 | $532.00 |
| 99213 | 12 | 12 | $459.85 | |
| 92012 | 15 | 12 | $313.06 |