NPI: 1982782835 · FREEPORT, NY 11520 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,197 | $36K |
| 2019 | 4,427 | $41K |
| 2020 | 4,079 | $40K |
| 2021 | 5,768 | $72K |
| 2022 | 5,409 | $68K |
| 2023 | 5,485 | $73K |
| 2024 | 3,244 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 8,709 | 4,692 | $158K |
| 92014 | 2,327 | 2,316 | $77K | |
| V2020 | Vision svcs frames purchases | 6,482 | 6,291 | $76K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,492 | 890 | $20K |
| 92004 | 585 | 585 | $14K | |
| V2784 | Lens polycarb or equal | 10,877 | 5,634 | $12K |
| 92340 | 628 | 613 | $10K | |
| V2200 | Lens spher bifoc plano 4.00d | 294 | 169 | $8K |
| S0620 | Routine ophthalmological exa | 13 | 13 | $360.00 |
| V2755 | Uv lens/es | 202 | 101 | $0.00 |