NPI: 1770645525 · EAST PROVIDENCE, RI 02914 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 421 | $11K |
| 2019 | 575 | $14K |
| 2020 | 428 | $11K |
| 2021 | 627 | $16K |
| 2022 | 290 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 933 | 872 | $24K | |
| 92014 | 421 | 391 | $13K | |
| V2020 | Vision svcs frames purchases | 476 | 455 | $8K |
| 92004 | 86 | 83 | $3K | |
| 92340 | 211 | 209 | $3K | |
| 99213 | 78 | 68 | $3K | |
| V2784 | Lens polycarb or equal | 96 | 92 | $3K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 28 | 27 | $993.51 |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $393.00 |