NPI: 1174644702 · JACKSON HEIGHTS, NY 11372 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,036 | $55K |
| 2019 | 4,969 | $59K |
| 2020 | 2,481 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92286 | 347 | 347 | $43K | |
| 92004 | 676 | 676 | $28K | |
| 92340 | 947 | 947 | $13K | |
| V2020 | Vision svcs frames purchases | 2,367 | 2,341 | $11K |
| V2199 | Lens single vision not oth c | 1,750 | 874 | $9K |
| 92285 | 453 | 453 | $9K | |
| S0580 | Polycarb lens | 450 | 445 | $8K |
| 92025 | 148 | 148 | $6K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 578 | 538 | $5K |
| V2299 | Lens bifocal speciality | 382 | 191 | $3K |
| 92002 | 75 | 75 | $3K | |
| 92341 | 92 | 92 | $2K | |
| V2100 | Lens spher single plano 4.00 | 135 | 108 | $1K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 20 | 20 | $189.00 |
| V2784 | Lens polycarb or equal | 905 | 452 | $0.00 |
| V2750 | Anti-reflective coating | 1,161 | 582 | $0.00 |