NPI: 1376058917 · SPRING VALLEY, NY 10977 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $60.00 |
| 2019 | 493 | $13K |
| 2020 | 1,134 | $25K |
| 2021 | 1,507 | $29K |
| 2022 | 1,485 | $31K |
| 2023 | 1,245 | $23K |
| 2024 | 1,157 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92002 | 1,220 | 1,218 | $58K | |
| V2100 | Lens spher single plano 4.00 | 2,083 | 1,280 | $48K |
| V2020 | Vision svcs frames purchases | 1,612 | 1,600 | $28K |
| 92014 | 82 | 82 | $4K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 66 | 66 | $3K |
| 92004 | 30 | 30 | $1K | |
| V2784 | Lens polycarb or equal | 1,879 | 952 | $1K |
| 92015 | 64 | 64 | $1K | |
| 92230 | 13 | 13 | $750.82 |