NPI: 1245360551 · LAKE GROVE, NY 11755 · Optometrist · NPI assigned 03/06/2007
| Authorized Official | KOGAN, DANY (OWNER) |
| NPI Enumeration Date | 03/06/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 55 | $331.90 |
| 2019 | 303 | $3K |
| 2020 | 25 | $500.00 |
| 2022 | 27 | $592.00 |
| 2023 | 15 | $300.00 |
| 2024 | 635 | $15K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 515 | 512 | $8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 300 | 297 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 133 | 133 | $4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 80 | 40 | $739.44 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 32 | 16 | $0.00 |