NPI: 1417075458 · HICKSVILLE, NY 11801 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 48 | $1K |
| 2020 | 681 | $23K |
| 2021 | 1,240 | $46K |
| 2022 | 733 | $27K |
| 2023 | 965 | $41K |
| 2024 | 978 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92286 | 522 | 521 | $38K | |
| 92004 | 733 | 723 | $32K | |
| 92250 | 697 | 696 | $32K | |
| 92083 | 609 | 606 | $29K | |
| V2020 | Vision svcs frames purchases | 685 | 678 | $14K |
| V2100 | Lens spher single plano 4.00 | 549 | 542 | $13K |
| 92060 | 265 | 265 | $8K | |
| 92285 | 75 | 75 | $4K | |
| 92014 | 64 | 64 | $3K | |
| 92025 | 126 | 126 | $2K | |
| 76514 | 195 | 195 | $1K | |
| 76512 | 22 | 12 | $1K | |
| 92020 | 91 | 91 | $975.79 | |
| 92015 | 12 | 12 | $98.64 |