NPI: 1245257153 · BRISTOL, CT 06010 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,379 | $46K |
| 2019 | 1,561 | $52K |
| 2020 | 865 | $27K |
| 2021 | 1,079 | $35K |
| 2022 | 994 | $32K |
| 2023 | 801 | $26K |
| 2024 | 734 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 2,099 | 2,017 | $75K | |
| 92014 | 1,166 | 1,109 | $56K | |
| V2020 | Vision svcs frames purchases | 1,750 | 1,643 | $49K |
| 92340 | 1,097 | 1,038 | $23K | |
| S0580 | Polycarb lens | 781 | 737 | $22K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 240 | 229 | $7K |
| 92004 | 103 | 99 | $7K | |
| 92341 | 150 | 139 | $3K | |
| V2100 | Lens spher single plano 4.00 | 27 | 27 | $779.59 |