NPI: 1871690131 · BRISTOL, CT 06010 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,018 | $23K |
| 2019 | 988 | $23K |
| 2020 | 707 | $18K |
| 2021 | 532 | $14K |
| 2022 | 381 | $10K |
| 2023 | 366 | $9K |
| 2024 | 94 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,678 | 1,616 | $48K |
| 92340 | 1,200 | 1,146 | $24K | |
| S0580 | Polycarb lens | 420 | 397 | $11K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 385 | 373 | $11K |
| V2730 | Special base curve | 364 | 346 | $5K |
| 92341 | 26 | 25 | $580.80 | |
| V2100 | Lens spher single plano 4.00 | 13 | 13 | $318.20 |