NPI: 1225653173 · BROCKTON, MA 02301 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 564 | $12K |
| 2022 | 2,085 | $56K |
| 2023 | 2,252 | $59K |
| 2024 | 1,311 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,343 | 899 | $54K | |
| 92004 | 571 | 240 | $26K | |
| V2784 | Lens polycarb or equal | 763 | 423 | $22K |
| V2100 | Lens spher single plano 4.00 | 549 | 247 | $20K |
| 92015 | 1,616 | 637 | $15K | |
| V2020 | Vision svcs frames purchases | 781 | 733 | $13K |
| 92340 | 519 | 495 | $9K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 58 | 55 | $3K |
| 99213 | 12 | 12 | $562.80 |