NPI: 1497813547 · BRONX, NY 10468 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,777 | $98K |
| 2019 | 1,839 | $43K |
| 2020 | 2,684 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2783 | Lens, >= 1.66 p/>=1.80 g | 239 | 239 | $66K |
| 92002 | 1,026 | 1,020 | $25K | |
| V2020 | Vision svcs frames purchases | 1,911 | 1,897 | $23K |
| 92340 | 1,042 | 1,040 | $14K | |
| V2784 | Lens polycarb or equal | 439 | 383 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 991 | 962 | $9K |
| V2100 | Lens spher single plano 4.00 | 864 | 460 | $5K |
| 92015 | 223 | 223 | $3K | |
| 92250 | 45 | 45 | $2K | |
| V2200 | Lens spher bifoc plano 4.00d | 239 | 115 | $2K |
| S0580 | Polycarb lens | 134 | 134 | $2K |
| 92341 | 92 | 92 | $2K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 55 | 55 | $1K |