NPI: 1205815511 · MILFORD, CT 06460 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 908 | $29K |
| 2019 | 663 | $21K |
| 2020 | 422 | $14K |
| 2021 | 732 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 775 | 736 | $27K | |
| 92014 | 449 | 431 | $21K | |
| V2020 | Vision svcs frames purchases | 646 | 622 | $18K |
| 92340 | 391 | 375 | $8K | |
| 99213 | 235 | 204 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 120 | 116 | $4K |
| 92250 | 47 | 40 | $1K | |
| 92004 | 12 | 12 | $835.44 | |
| 92083 | 13 | 12 | $516.84 | |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $365.93 |
| S0580 | Polycarb lens | 13 | 12 | $324.28 |
| 92133 | 12 | 12 | $282.15 |