NPI: 1154530152 · HICKSVILLE, NY 11801 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,078 | $6K |
| 2021 | 810 | $7K |
| 2022 | 675 | $5K |
| 2023 | 114 | $480.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 306 | 306 | $8K | |
| V2100 | Lens spher single plano 4.00 | 324 | 162 | $6K |
| V2199 | Lens single vision not oth c | 258 | 129 | $2K |
| V2020 | Vision svcs frames purchases | 361 | 361 | $2K |
| 92014 | 12 | 12 | $480.00 | |
| V2784 | Lens polycarb or equal | 872 | 436 | $5.00 |
| V2755 | Uv lens/es | 210 | 105 | $0.00 |
| 92015 | 308 | 305 | $0.00 | |
| V2760 | Scratch resistant coating | 26 | 13 | $0.00 |