NPI: 1467429035 · NEW ROCHELLE, NY 10801 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 679 | $13K |
| 2019 | 531 | $6K |
| 2020 | 98 | $740.00 |
| 2022 | 27 | $0.00 |
| 2023 | 112 | $773.00 |
| 2024 | 81 | $644.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 428 | 404 | $13K | |
| V2020 | Vision svcs frames purchases | 162 | 160 | $3K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 64 | 61 | $1K |
| 92025 | 125 | 122 | $1K | |
| V2784 | Lens polycarb or equal | 101 | 93 | $752.00 |
| V2100 | Lens spher single plano 4.00 | 31 | 27 | $641.82 |
| 92012 | 12 | 12 | $427.16 | |
| 92285 | 139 | 133 | $164.87 | |
| 92015 | 466 | 457 | $0.00 |