NPI: 1124257761 · BAYSIDE, NY 11360 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 781 | $8K |
| 2019 | 896 | $7K |
| 2020 | 103 | $1K |
| 2021 | 361 | $10K |
| 2022 | 266 | $7K |
| 2023 | 334 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 618 | 614 | $12K | |
| S0620 | Routine ophthalmological exa | 361 | 336 | $11K |
| V2020 | Vision svcs frames purchases | 672 | 665 | $10K |
| V2100 | Lens spher single plano 4.00 | 362 | 258 | $6K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 225 | 127 | $2K |
| S0621 | Routine ophthalmological exa | 39 | 38 | $1K |
| V2784 | Lens polycarb or equal | 178 | 103 | $414.20 |
| 92014 | 12 | 12 | $315.00 | |
| 92002 | 21 | 21 | $280.00 | |
| 92015 | 107 | 91 | $0.00 | |
| V2755 | Uv lens/es | 146 | 73 | $0.00 |