NPI: 1275501421 · PAWTUCKET, RI 02860 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,078 | $56K |
| 2019 | 88 | $2K |
| 2020 | 733 | $19K |
| 2021 | 2,138 | $60K |
| 2022 | 3,548 | $107K |
| 2023 | 700 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,131 | 1,099 | $46K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 949 | 920 | $39K |
| V2020 | Vision svcs frames purchases | 2,049 | 1,987 | $36K |
| 92015 | 1,235 | 1,198 | $27K | |
| 92004 | 476 | 468 | $26K | |
| 92340 | 1,327 | 1,289 | $23K | |
| 99213 | 366 | 338 | $16K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 201 | 197 | $13K |
| 92250 | 346 | 334 | $11K | |
| S0580 | Polycarb lens | 550 | 535 | $10K |
| 92341 | 387 | 380 | $8K | |
| V2100 | Lens spher single plano 4.00 | 196 | 195 | $7K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 39 | 39 | $1K |
| V2200 | Lens spher bifoc plano 4.00d | 16 | 16 | $723.23 |
| 92370 | 17 | 14 | $163.13 |