NPI: 1093147902 · BUFFALO, NY 14202 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,152 | $40K |
| 2019 | 2,703 | $61K |
| 2020 | 2,337 | $66K |
| 2021 | 976 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,993 | 1,974 | $93K |
| V2100 | Lens spher single plano 4.00 | 1,684 | 1,423 | $68K |
| 92004 | 260 | 259 | $13K | |
| 92340 | 1,317 | 1,305 | $12K | |
| V2200 | Lens spher bifoc plano 4.00d | 105 | 100 | $9K |
| 92014 | 146 | 146 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 168 | 84 | $3K |
| V2784 | Lens polycarb or equal | 1,164 | 646 | $3K |
| 92341 | 81 | 78 | $2K | |
| S0580 | Polycarb lens | 113 | 113 | $2K |
| 92015 | 137 | 137 | $851.18 |