NPI: 1518019025 · BROOKLYN, NY 11201 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,030 | $53K |
| 2019 | 393 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2783 | Lens, >= 1.66 p/>=1.80 g | 72 | 72 | $22K |
| V2020 | Vision svcs frames purchases | 777 | 777 | $16K |
| 92002 | 359 | 358 | $13K | |
| 92340 | 501 | 501 | $7K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 334 | 334 | $3K |
| 92015 | 192 | 192 | $2K | |
| 92341 | 74 | 74 | $1K | |
| V2100 | Lens spher single plano 4.00 | 83 | 83 | $594.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 31 | 31 | $538.20 |