NPI: 1760899934 · NASHUA, NH 03063 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,528 | $41K |
| 2019 | 3,083 | $84K |
| 2020 | 2,798 | $79K |
| 2021 | 2,194 | $60K |
| 2022 | 260 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,005 | 923 | $60K | |
| V2020 | Vision svcs frames purchases | 1,934 | 1,676 | $59K |
| 92004 | 730 | 674 | $55K | |
| 92015 | 1,768 | 1,631 | $38K | |
| 92340 | 892 | 870 | $23K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,177 | 1,003 | $22K |
| V2784 | Lens polycarb or equal | 1,973 | 1,711 | $11K |
| V2100 | Lens spher single plano 4.00 | 333 | 307 | $3K |
| 92341 | 38 | 38 | $1K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 13 | 13 | $378.96 |