NPI: 1265938179 · PAWTUCKET, RI 02861 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 660 | $17K |
| 2019 | 4,236 | $111K |
| 2020 | 1,974 | $52K |
| 2021 | 1,100 | $30K |
| 2022 | 713 | $20K |
| 2023 | 931 | $25K |
| 2024 | 690 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,552 | 1,123 | $69K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,004 | 613 | $49K |
| V2020 | Vision svcs frames purchases | 2,503 | 1,728 | $44K |
| 92015 | 2,032 | 1,196 | $42K | |
| 92340 | 2,019 | 1,356 | $36K | |
| 92004 | 186 | 96 | $12K | |
| 92250 | 293 | 148 | $10K | |
| S0580 | Polycarb lens | 513 | 269 | $4K |
| V2100 | Lens spher single plano 4.00 | 64 | 64 | $3K |
| S0621 | Routine ophthalmological exa | 29 | 28 | $1K |
| 99213 | 24 | 24 | $1K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 14 | 13 | $952.82 |
| 92341 | 43 | 40 | $905.73 | |
| V2784 | Lens polycarb or equal | 28 | 28 | $489.16 |