NPI: 1831373976 · NIAGARA FALLS, NY 14304 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 3,503 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 730 | 365 | $15K |
| 92014 | 292 | 291 | $12K | |
| 92004 | 190 | 190 | $8K | |
| V2020 | Vision svcs frames purchases | 634 | 627 | $7K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 126 | 63 | $4K |
| V2100 | Lens spher single plano 4.00 | 148 | 72 | $3K |
| 92012 | 45 | 42 | $2K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 26 | 13 | $534.04 |
| V2784 | Lens polycarb or equal | 1,312 | 649 | $0.00 |