NPI: 1659487213 · WELLSVILLE, NY 14895 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 62 | $0.00 |
| 2019 | 15 | $562.64 |
| 2021 | 12 | $350.06 |
| 2022 | 97 | $3K |
| 2023 | 681 | $19K |
| 2024 | 178 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 243 | 242 | $13K | |
| V2020 | Vision svcs frames purchases | 282 | 277 | $5K |
| V2100 | Lens spher single plano 4.00 | 141 | 138 | $3K |
| 92002 | 45 | 45 | $3K | |
| V2784 | Lens polycarb or equal | 272 | 267 | $2K |
| G8427 | Docrev cur meds by elig clin | 32 | 32 | $0.00 |
| G9903 | Pt scrn tbco id as non user | 15 | 15 | $0.00 |
| 1036F | 15 | 15 | $0.00 |