NPI: 1275698979 · WHITE PLAINS, NY 10601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,427 | $36K |
| 2019 | 1,413 | $40K |
| 2020 | 1,607 | $52K |
| 2021 | 1,719 | $53K |
| 2022 | 1,624 | $51K |
| 2023 | 644 | $17K |
| 2024 | 1,158 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 5,054 | 5,014 | $126K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,525 | 1,514 | $52K |
| 92002 | 749 | 745 | $47K | |
| V2100 | Lens spher single plano 4.00 | 891 | 888 | $28K |
| 92012 | 239 | 238 | $16K | |
| 92340 | 776 | 765 | $11K | |
| 92341 | 195 | 194 | $4K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 82 | 81 | $3K |
| V2784 | Lens polycarb or equal | 81 | 81 | $828.80 |