NPI: 1255614392 · NORTH SMITHFIELD, RI 02896 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,624 | $41K |
| 2019 | 413 | $10K |
| 2020 | 1,150 | $29K |
| 2021 | 1,734 | $45K |
| 2022 | 1,288 | $35K |
| 2023 | 1,354 | $37K |
| 2024 | 1,044 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,982 | 1,906 | $78K | |
| 92015 | 1,988 | 1,882 | $46K | |
| V2020 | Vision svcs frames purchases | 1,699 | 1,619 | $28K |
| 92340 | 1,245 | 1,181 | $21K | |
| V2100 | Lens spher single plano 4.00 | 491 | 459 | $19K |
| V2784 | Lens polycarb or equal | 865 | 801 | $18K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 156 | 155 | $7K |
| 92004 | 101 | 91 | $5K | |
| 99213 | 80 | 70 | $4K |