NPI: 1245725779 · CORONA, NY 11368 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 265 | $15K |
| 2022 | 1,477 | $55K |
| 2023 | 549 | $20K |
| 2024 | 74 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 748 | 747 | $52K | |
| 92060 | 630 | 625 | $22K | |
| 92202 | 255 | 254 | $4K | |
| V2100 | Lens spher single plano 4.00 | 195 | 108 | $4K |
| 92014 | 73 | 73 | $4K | |
| 92012 | 67 | 62 | $3K | |
| V2020 | Vision svcs frames purchases | 143 | 141 | $2K |
| 92250 | 27 | 27 | $1K | |
| V2784 | Lens polycarb or equal | 215 | 109 | $13.00 |
| 92015 | 12 | 12 | $0.00 |