NPI: 1285661025 · LINCOLN, RI 02865 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 812 | $21K |
| 2019 | 71 | $1K |
| 2020 | 342 | $7K |
| 2021 | 445 | $10K |
| 2022 | 43 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 623 | 495 | $13K | |
| 92014 | 259 | 213 | $10K | |
| V2020 | Vision svcs frames purchases | 402 | 304 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 142 | 64 | $4K |
| V2100 | Lens spher single plano 4.00 | 102 | 90 | $3K |
| 92004 | 27 | 26 | $1K | |
| V2784 | Lens polycarb or equal | 40 | 38 | $810.36 |
| 92340 | 56 | 27 | $734.20 | |
| 92370 | 62 | 30 | $679.50 |