NPI: 1740359983 · FREEPORT, NY 11520 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 335 | $6K |
| 2019 | 475 | $11K |
| 2020 | 238 | $5K |
| 2021 | 331 | $8K |
| 2022 | 41 | $615.00 |
| 2023 | 27 | $408.75 |
| 2024 | 1,870 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 1,138 | 1,134 | $17K | |
| V2100 | Lens spher single plano 4.00 | 621 | 614 | $15K |
| V2020 | Vision svcs frames purchases | 640 | 632 | $13K |
| 92014 | 263 | 263 | $12K | |
| 92004 | 144 | 144 | $10K | |
| 92015 | 130 | 130 | $2K | |
| V2784 | Lens polycarb or equal | 324 | 321 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 44 | 44 | $1K |
| 3072F | 13 | 13 | $0.00 |