NPI: 1427115633 · ROSLYN HEIGHTS, NY 11577 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 836 | $9K |
| 2019 | 1,308 | $11K |
| 2020 | 1,690 | $19K |
| 2021 | 2,659 | $56K |
| 2022 | 3,847 | $100K |
| 2023 | 3,283 | $100K |
| 2024 | 1,925 | $58K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 4,826 | 2,836 | $86K |
| V2020 | Vision svcs frames purchases | 3,988 | 3,955 | $52K |
| 92004 | 1,107 | 1,095 | $48K | |
| 92250 | 1,102 | 1,096 | $48K | |
| 92002 | 1,441 | 1,435 | $43K | |
| 92083 | 628 | 625 | $29K | |
| 76512 | 410 | 338 | $24K | |
| V2200 | Lens spher bifoc plano 4.00d | 368 | 220 | $10K |
| 92285 | 405 | 405 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 469 | 246 | $5K |
| 99212 | 28 | 28 | $619.86 | |
| S0620 | Routine ophthalmological exa | 27 | 27 | $390.00 |
| 92202 | 28 | 28 | $373.67 | |
| V2784 | Lens polycarb or equal | 282 | 159 | $298.00 |
| 92015 | 439 | 436 | $0.00 |