NPI: 1548684400 · OZONE PARK, NY 11417 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 394 | $3K |
| 2019 | 540 | $4K |
| 2020 | 733 | $6K |
| 2021 | 840 | $14K |
| 2022 | 1,134 | $22K |
| 2023 | 807 | $16K |
| 2024 | 40 | $800.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 961 | 958 | $26K | |
| V2100 | Lens spher single plano 4.00 | 1,539 | 769 | $24K |
| V2020 | Vision svcs frames purchases | 1,526 | 1,522 | $14K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 104 | 52 | $698.36 |
| V2200 | Lens spher bifoc plano 4.00d | 24 | 12 | $693.48 |
| 92250 | 124 | 124 | $199.48 | |
| V2784 | Lens polycarb or equal | 70 | 35 | $0.00 |
| 92015 | 140 | 140 | $0.00 |