NPI: 1659472249 · MIDDLETOWN, RI 02842 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,769 | $41K |
| 2019 | 328 | $7K |
| 2020 | 721 | $16K |
| 2021 | 2,024 | $46K |
| 2022 | 1,738 | $40K |
| 2023 | 1,606 | $41K |
| 2024 | 987 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,752 | 1,650 | $70K | |
| 92015 | 1,387 | 1,302 | $33K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,286 | 721 | $29K |
| 92340 | 1,636 | 1,506 | $27K | |
| V2020 | Vision svcs frames purchases | 1,756 | 1,622 | $24K |
| V2784 | Lens polycarb or equal | 940 | 813 | $20K |
| 92004 | 156 | 143 | $8K | |
| 99213 | 80 | 64 | $4K | |
| V2100 | Lens spher single plano 4.00 | 88 | 40 | $2K |
| 92370 | 92 | 77 | $740.00 |