NPI: 1255374203 · FRANKLIN SQUARE, NY 11010 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 129 | $1K |
| 2019 | 183 | $2K |
| 2020 | 229 | $4K |
| 2021 | 122 | $2K |
| 2022 | 103 | $2K |
| 2023 | 126 | $2K |
| 2024 | 989 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,007 | 996 | $17K |
| 92014 | 246 | 246 | $9K | |
| V2100 | Lens spher single plano 4.00 | 293 | 290 | $7K |
| 92004 | 43 | 42 | $2K | |
| V2784 | Lens polycarb or equal | 107 | 105 | $835.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 20 | 13 | $264.32 |
| 92015 | 153 | 152 | $0.00 | |
| V2702 | Deluxe lens feature | 12 | 12 | $0.00 |