NPI: 1154322055 · CONCORD, NH 03301 · 207WX0110X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,604 | $31K |
| 2019 | 1,690 | $33K |
| 2020 | 1,453 | $29K |
| 2021 | 1,609 | $37K |
| 2022 | 1,455 | $41K |
| 2023 | 961 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,404 | 2,275 | $73K |
| 92340 | 2,339 | 2,203 | $59K | |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 788 | 785 | $28K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,417 | 1,342 | $25K |
| V2784 | Lens polycarb or equal | 1,629 | 1,505 | $9K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 170 | 169 | $2K |
| A6412 | Occlusive eye patch | 12 | 12 | $465.92 |
| V2100 | Lens spher single plano 4.00 | 13 | 12 | $133.40 |