NPI: 1962490540 · CRANSTON, RI 02920 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,219 | $29K |
| 2019 | 532 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 426 | 376 | $11K | |
| V2020 | Vision svcs frames purchases | 349 | 319 | $8K |
| 99214 | 164 | 140 | $8K | |
| 92370 | 422 | 385 | $5K | |
| 92340 | 239 | 215 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 62 | 51 | $2K |
| S0580 | Polycarb lens | 43 | 42 | $1K |
| 99213 | 18 | 12 | $819.90 | |
| 92014 | 12 | 12 | $372.31 | |
| V2756 | Eye glass case | 16 | 16 | $60.00 |