NPI: 1851507891 · CORONA, NY 11368 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 251 | $6K |
| 2019 | 438 | $10K |
| 2020 | 471 | $11K |
| 2021 | 484 | $11K |
| 2022 | 502 | $16K |
| 2023 | 732 | $28K |
| 2024 | 335 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,165 | 1,156 | $48K | |
| V2020 | Vision svcs frames purchases | 1,189 | 1,177 | $19K |
| 92250 | 306 | 305 | $13K | |
| 92285 | 205 | 205 | $12K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 84 | 51 | $1K |
| 92015 | 39 | 39 | $796.00 | |
| V2100 | Lens spher single plano 4.00 | 34 | 33 | $644.64 |
| V2784 | Lens polycarb or equal | 39 | 39 | $462.50 |
| 92060 | 13 | 13 | $399.25 | |
| 92002 | 12 | 12 | $330.00 | |
| 92340 | 48 | 48 | $295.45 | |
| S0580 | Polycarb lens | 79 | 41 | $89.00 |