NPI: 1366826075 · WAKEFIELD, MA 01880 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 714 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 105 | 88 | $7K | |
| 92015 | 169 | 138 | $4K | |
| 92340 | 70 | 60 | $2K | |
| 92014 | 27 | 25 | $2K | |
| V2020 | Vision svcs frames purchases | 116 | 101 | $1K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 59 | 50 | $1K |
| V2784 | Lens polycarb or equal | 122 | 107 | $645.06 |
| 92341 | 17 | 13 | $518.25 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 15 | 12 | $389.76 |
| V2750 | Anti-reflective coating | 14 | 13 | $0.00 |