NPI: 1144705237 · OZONE PARK, NY 11417 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 107 | $2K |
| 2021 | 434 | $10K |
| 2022 | 645 | $21K |
| 2023 | 460 | $11K |
| 2024 | 395 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 262 | 260 | $17K | |
| 92004 | 124 | 123 | $7K | |
| 92012 | 90 | 87 | $6K | |
| V2020 | Vision svcs frames purchases | 755 | 755 | $6K |
| 92285 | 235 | 233 | $5K | |
| 92283 | 61 | 58 | $4K | |
| V2100 | Lens spher single plano 4.00 | 188 | 188 | $2K |
| 92341 | 61 | 61 | $2K | |
| 92015 | 124 | 124 | $2K | |
| V2211 | Lens sphcy bifo 7.25-12/.25- | 24 | 24 | $799.20 |
| 92340 | 44 | 44 | $783.00 | |
| V2200 | Lens spher bifoc plano 4.00d | 37 | 37 | $699.30 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 36 | 36 | $237.60 |