IDEAL OPTICAL CHOICE INC.
NPI: 1427247980
· BROOKLYN, NY 11209
· 156FX1800X
$453K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
153 |
$7K |
| 2019 |
666 |
$28K |
| 2020 |
2,500 |
$103K |
| 2021 |
3,201 |
$121K |
| 2022 |
1,932 |
$86K |
| 2023 |
1,873 |
$88K |
| 2024 |
514 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76512 |
|
1,863 |
936 |
$122K |
| 92250 |
|
1,663 |
1,658 |
$77K |
| 92083 |
|
1,122 |
1,119 |
$56K |
| 92004 |
|
654 |
652 |
$48K |
| 92285 |
|
1,542 |
1,539 |
$43K |
| 92014 |
|
609 |
609 |
$35K |
| 92060 |
|
813 |
807 |
$30K |
| V2100 |
Lens spher single plano 4.00 |
953 |
493 |
$15K |
| 68761 |
|
158 |
85 |
$12K |
| V2020 |
Vision svcs frames purchases |
711 |
704 |
$7K |
| 92012 |
|
103 |
101 |
$4K |
| 92133 |
|
47 |
47 |
$1K |
| 92286 |
|
15 |
15 |
$1K |
| 92020 |
|
63 |
63 |
$890.98 |
| 92015 |
|
23 |
23 |
$532.00 |
| 92340 |
|
20 |
20 |
$300.00 |
| V2784 |
Lens polycarb or equal |
228 |
114 |
$0.00 |
| V2755 |
Uv lens/es |
252 |
122 |
$0.00 |