NPI: 1477575249 · WOONSOCKET, RI 02895 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 318 | $7K |
| 2019 | 409 | $10K |
| 2020 | 405 | $11K |
| 2021 | 403 | $10K |
| 2022 | 198 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 754 | 697 | $19K | |
| V2100 | Lens spher single plano 4.00 | 285 | 265 | $10K |
| 92014 | 196 | 189 | $6K | |
| V2020 | Vision svcs frames purchases | 368 | 364 | $5K |
| V2784 | Lens polycarb or equal | 51 | 50 | $2K |
| 92340 | 55 | 55 | $803.34 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 12 | 12 | $358.25 |
| S0580 | Polycarb lens | 12 | 12 | $288.00 |