NPI: 1811174709 · BAYSIDE, NY 11361 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 740 | $12K |
| 2022 | 1,132 | $29K |
| 2023 | 871 | $19K |
| 2024 | 527 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 931 | 930 | $39K |
| 92004 | 671 | 670 | $21K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 387 | 387 | $10K |
| 92012 | 51 | 51 | $2K | |
| V2784 | Lens polycarb or equal | 73 | 72 | $443.00 |
| 92002 | 12 | 12 | $375.00 | |
| 92250 | 12 | 12 | $152.00 | |
| V2750 | Anti-reflective coating | 13 | 12 | $36.00 |
| 92015 | 1,120 | 1,119 | $0.00 |