NPI: 1023194164 · SPRING VALLEY, NY 10977 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,703 | $38K |
| 2019 | 2,902 | $43K |
| 2020 | 3,145 | $46K |
| 2021 | 4,156 | $55K |
| 2022 | 4,711 | $58K |
| 2023 | 5,333 | $69K |
| 2024 | 4,517 | $72K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 5,676 | 3,288 | $114K |
| 92004 | 2,923 | 2,891 | $110K | |
| V2020 | Vision svcs frames purchases | 6,070 | 5,938 | $80K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,512 | 780 | $30K |
| V2200 | Lens spher bifoc plano 4.00d | 945 | 531 | $27K |
| V2784 | Lens polycarb or equal | 8,258 | 4,376 | $8K |
| 92341 | 232 | 230 | $4K | |
| 92340 | 103 | 103 | $2K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 44 | 24 | $1K |
| 92014 | 28 | 28 | $1K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 47 | 25 | $995.68 |
| 92002 | 23 | 23 | $890.00 | |
| 92015 | 1,344 | 1,334 | $555.00 | |
| 92250 | 262 | 260 | $245.00 |