NPI: 1649202706 · CLAREMONT, NH 03743 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,741 | $87K |
| 2019 | 3,923 | $113K |
| 2020 | 2,874 | $81K |
| 2021 | 3,068 | $87K |
| 2022 | 4,449 | $110K |
| 2023 | 2,196 | $66K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,442 | 2,328 | $147K | |
| V2020 | Vision svcs frames purchases | 3,281 | 2,998 | $100K |
| 92004 | 1,279 | 1,216 | $97K | |
| 92015 | 3,899 | 3,712 | $84K | |
| 92340 | 2,693 | 2,433 | $69K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,817 | 1,652 | $31K |
| V2100 | Lens spher single plano 4.00 | 566 | 516 | $5K |
| 92341 | 124 | 124 | $4K | |
| 00000 | 80 | 23 | $2K | |
| V2784 | Lens polycarb or equal | 364 | 314 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 80 | 80 | $2K |
| V2756 | Eye glass case | 989 | 955 | $514.28 |
| V2760 | Scratch resistant coating | 1,637 | 1,525 | $0.00 |