NPI: 1639201452 · BRIDGEPORT, CT 06606 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,883 | $45K |
| 2019 | 724 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 548 | 347 | $15K | |
| V2020 | Vision svcs frames purchases | 737 | 483 | $13K |
| S0580 | Polycarb lens | 1,281 | 430 | $11K |
| 92340 | 344 | 264 | $5K | |
| 92015 | 191 | 149 | $5K | |
| V2100 | Lens spher single plano 4.00 | 213 | 82 | $2K |
| 92341 | 174 | 95 | $2K | |
| 92014 | 37 | 27 | $1K | |
| V2201 | Lens sphere bifocal 4.12-7.0 | 82 | 16 | $613.80 |