BROOKE PLAZA OPTICAL, INC.
NPI: 1467620708
· OCEANSIDE, NY 11572
· Optometrist
· NPI assigned 02/20/2008
$121K
Total Medicaid Paid
Provider Details
| Authorized Official | BOHN, RICHARD (PRESIDENT) |
| NPI Enumeration Date | 02/20/2008 |
Related Entities
Other providers sharing the same authorized official: BOHN, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
264 |
$5K |
| 2019 |
449 |
$10K |
| 2020 |
1,135 |
$21K |
| 2021 |
1,433 |
$30K |
| 2022 |
1,151 |
$23K |
| 2023 |
1,234 |
$23K |
| 2024 |
414 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,247 |
1,245 |
$53K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,446 |
740 |
$25K |
| 92015 |
Determination of refractive state |
1,395 |
1,392 |
$17K |
| V2020 |
Frames, purchases |
1,071 |
1,048 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
697 |
695 |
$10K |
| 92250 |
|
38 |
38 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
41 |
41 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
145 |
73 |
$76.00 |