NPI: 1669414892 · WHITE PLAINS, NY 10601 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 887 | $22K |
| 2019 | 192 | $6K |
| 2020 | 54 | $2K |
| 2021 | 12 | $473.31 |
| 2022 | 134 | $4K |
| 2023 | 739 | $18K |
| 2024 | 307 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 944 | 933 | $29K | |
| 92004 | 542 | 534 | $23K | |
| V2100 | Lens spher single plano 4.00 | 106 | 103 | $2K |
| V2020 | Vision svcs frames purchases | 137 | 133 | $2K |
| 92250 | 129 | 125 | $2K | |
| 92083 | 69 | 68 | $1K | |
| 92020 | 102 | 99 | $714.42 | |
| V2784 | Lens polycarb or equal | 73 | 72 | $710.00 |
| 92012 | 29 | 24 | $359.67 | |
| 92015 | 178 | 177 | $139.39 | |
| 92134 | 16 | 15 | $132.31 |