NPI: 1518909092 · BROOKLYN, NY 11204 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 923 | $19K |
| 2019 | 932 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 315 | 294 | $14K | |
| 92014 | 299 | 285 | $11K | |
| V2020 | Vision svcs frames purchases | 746 | 707 | $9K |
| V2100 | Lens spher single plano 4.00 | 220 | 158 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 166 | 127 | $2K |
| V2219 | Lens bifocal seg width over | 14 | 13 | $871.20 |
| 92250 | 12 | 12 | $554.90 | |
| 92340 | 36 | 34 | $372.00 | |
| 92225 | 16 | 15 | $359.97 | |
| 92341 | 13 | 12 | $120.00 | |
| V2784 | Lens polycarb or equal | 18 | 12 | $104.00 |