NPI: 1518053297 · YONKERS, NY 10701 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,460 | $74K |
| 2019 | 1,622 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 931 | 908 | $38K | |
| V2020 | Vision svcs frames purchases | 1,681 | 1,657 | $21K |
| V2100 | Lens spher single plano 4.00 | 1,034 | 860 | $20K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 344 | 172 | $7K |
| S0620 | Routine ophthalmological exa | 92 | 92 | $4K |
| 92082 | 89 | 89 | $4K | |
| V2784 | Lens polycarb or equal | 1,737 | 1,022 | $3K |
| V2200 | Lens spher bifoc plano 4.00d | 107 | 91 | $3K |
| 92250 | 43 | 43 | $2K | |
| 92020 | 12 | 12 | $180.12 | |
| 76514 | 12 | 12 | $95.88 |