NPI: 1750507380 · MANCHESTER, CT 06042 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,643 | $43K |
| 2019 | 1,752 | $47K |
| 2020 | 1,815 | $47K |
| 2021 | 711 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,864 | 1,778 | $52K |
| 92340 | 1,557 | 1,475 | $31K | |
| S0580 | Polycarb lens | 931 | 868 | $26K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 880 | 846 | $25K |
| V2100 | Lens spher single plano 4.00 | 272 | 256 | $7K |
| V2219 | Lens bifocal seg width over | 66 | 62 | $4K |
| 92341 | 198 | 190 | $4K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 100 | 95 | $4K |
| V2730 | Special base curve | 53 | 52 | $705.56 |