NPI: 1760817191 · CORONA, NY 11368 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 399 | $8K |
| 2019 | 929 | $17K |
| 2020 | 17 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 248 | 248 | $14K | |
| 99213 | 114 | 111 | $5K | |
| 92012 | 54 | 44 | $2K | |
| V2020 | Vision svcs frames purchases | 482 | 480 | $2K |
| 92004 | 27 | 27 | $2K | |
| 92060 | 15 | 15 | $584.34 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 101 | 51 | $377.10 |
| 92226 | 40 | 28 | $353.34 | |
| V2100 | Lens spher single plano 4.00 | 23 | 12 | $212.78 |
| 92225 | 31 | 16 | $150.42 | |
| V2784 | Lens polycarb or equal | 210 | 103 | $0.00 |