NPI: 1164522645 · BROOKLYN, NY 11219 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 599 | $10K |
| 2019 | 722 | $13K |
| 2020 | 240 | $4K |
| 2021 | 254 | $6K |
| 2022 | 220 | $4K |
| 2023 | 76 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 849 | 847 | $25K | |
| 92250 | 383 | 380 | $5K | |
| 92226 | 272 | 271 | $3K | |
| V2020 | Vision svcs frames purchases | 139 | 138 | $1K |
| 92286 | 110 | 109 | $946.61 | |
| 92145 | 219 | 218 | $825.93 | |
| 92083 | 41 | 41 | $604.49 | |
| 92132 | 53 | 53 | $406.59 | |
| V2100 | Lens spher single plano 4.00 | 19 | 12 | $354.68 |
| 92004 | 14 | 14 | $310.00 | |
| 92133 | 12 | 12 | $100.56 |