NPI: 1376519637 · WARWICK, RI 02886 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,979 | $115K |
| 2019 | 742 | $16K |
| 2020 | 1,643 | $52K |
| 2021 | 684 | $20K |
| 2022 | 435 | $10K |
| 2023 | 671 | $16K |
| 2024 | 315 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,990 | 1,899 | $71K | |
| V2020 | Vision svcs frames purchases | 2,069 | 1,992 | $56K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,148 | 853 | $34K |
| 92340 | 1,577 | 1,524 | $26K | |
| S0580 | Polycarb lens | 519 | 505 | $12K |
| 92015 | 451 | 425 | $11K | |
| 99213 | 259 | 246 | $11K | |
| 92004 | 192 | 188 | $9K | |
| V2100 | Lens spher single plano 4.00 | 78 | 65 | $3K |
| 92341 | 75 | 69 | $1K | |
| V2784 | Lens polycarb or equal | 79 | 76 | $1K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 15 | 13 | $708.02 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 17 | 13 | $448.83 |