NPI: 1629713466 · DANBURY, CT 06810 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,235 | $23K |
| 2023 | 1,692 | $57K |
| 2024 | 2,379 | $76K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 687 | 606 | $39K | |
| 92015 | 1,321 | 1,079 | $39K | |
| V2020 | Vision svcs frames purchases | 967 | 787 | $23K |
| S0580 | Polycarb lens | 578 | 519 | $14K |
| 92014 | 373 | 289 | $14K | |
| 92340 | 742 | 610 | $13K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 388 | 295 | $8K |
| 92250 | 69 | 58 | $2K | |
| 92285 | 99 | 83 | $2K | |
| 99213 | 34 | 29 | $1K | |
| V2100 | Lens spher single plano 4.00 | 35 | 28 | $604.58 |
| V2784 | Lens polycarb or equal | 13 | 12 | $0.00 |