NPI: 1437182383 · GORHAM, ME 04038 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,618 | $63K |
| 2019 | 5,315 | $89K |
| 2020 | 4,318 | $80K |
| 2021 | 2,962 | $60K |
| 2022 | 2,113 | $48K |
| 2023 | 2,192 | $55K |
| 2024 | 3,241 | $102K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 5,218 | 4,772 | $264K | |
| 92004 | 3,352 | 3,037 | $209K | |
| 92340 | 1,380 | 1,279 | $22K | |
| 92012 | 46 | 36 | $1K | |
| 92015 | 12,508 | 11,427 | $667.23 | |
| V2020 | Vision svcs frames purchases | 516 | 475 | $55.12 |
| V2784 | Lens polycarb or equal | 554 | 499 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 173 | 84 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 12 | 12 | $0.00 |