NPI: 1447741962 · WATERTOWN, MA 02472 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 301 | $8K |
| 2019 | 1,281 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 147 | 135 | $11K | |
| V2020 | Vision svcs frames purchases | 308 | 251 | $8K |
| 92015 | 314 | 291 | $7K | |
| 92014 | 108 | 108 | $6K | |
| 92340 | 230 | 184 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 166 | 133 | $3K |
| V2784 | Lens polycarb or equal | 267 | 229 | $1K |
| V2100 | Lens spher single plano 4.00 | 15 | 14 | $139.20 |
| V2755 | Uv lens/es | 27 | 12 | $0.00 |