NPI: 1891893277 · JOHNSTON, RI 02919 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 787 | $21K |
| 2019 | 351 | $10K |
| 2020 | 137 | $5K |
| 2021 | 254 | $10K |
| 2022 | 217 | $7K |
| 2023 | 130 | $6K |
| 2024 | 46 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 772 | 747 | $32K | |
| 92004 | 286 | 241 | $15K | |
| V2020 | Vision svcs frames purchases | 297 | 280 | $4K |
| 92340 | 233 | 231 | $3K | |
| V2784 | Lens polycarb or equal | 102 | 87 | $3K |
| S0580 | Polycarb lens | 53 | 52 | $1K |
| V2780 | Oversize lens/es | 74 | 72 | $662.56 |
| V2100 | Lens spher single plano 4.00 | 13 | 12 | $404.50 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 12 | 12 | $373.50 |
| V2756 | Eye glass case | 80 | 78 | $49.04 |