NPI: 1912011487 · ORANGE, CT 06477 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,650 | $145K |
| 2019 | 2,780 | $85K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 1,458 | 1,285 | $48K | |
| 92014 | 1,066 | 948 | $48K | |
| V2020 | Vision svcs frames purchases | 1,424 | 1,275 | $37K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 840 | 766 | $26K |
| S0580 | Polycarb lens | 1,010 | 915 | $26K |
| 92340 | 1,219 | 1,105 | $24K | |
| 92004 | 333 | 303 | $20K | |
| 92341 | 66 | 59 | $1K | |
| V2100 | Lens spher single plano 4.00 | 14 | 14 | $413.66 |