NPI: 1003162280 · BRONX, NY 10452 · Technician/Technologist · NPI assigned 07/25/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 294 | $902.32 |
| 2019 | 660 | $2K |
| 2020 | 1,137 | $4K |
| 2021 | 678 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 975 | 971 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 690 | 344 | $5K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 32 | 16 | $342.96 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 24 | 12 | $82.16 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 730 | 363 | $0.00 |
| V2755 | U-v lens, per lens | 318 | 159 | $0.00 |