NPI: 1881728210 · COMMACK, NY 11725 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 101 | $3K |
| 2019 | 217 | $5K |
| 2020 | 535 | $10K |
| 2021 | 1,047 | $19K |
| 2022 | 1,199 | $18K |
| 2023 | 930 | $15K |
| 2024 | 59 | $642.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 370 | 368 | $19K | |
| 92004 | 285 | 285 | $14K | |
| V2100 | Lens spher single plano 4.00 | 763 | 371 | $14K |
| 92015 | 1,047 | 1,047 | $12K | |
| 92340 | 477 | 457 | $7K | |
| V2020 | Vision svcs frames purchases | 501 | 487 | $5K |
| 99214 | 12 | 12 | $786.54 | |
| 92201 | 25 | 25 | $402.65 | |
| V2784 | Lens polycarb or equal | 390 | 188 | $0.00 |
| V2755 | Uv lens/es | 218 | 108 | $0.00 |