NPI: 1619306123 · BROOKLYN, NY 11201 · 152WL0500X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,094 | $171K |
| 2019 | 4,254 | $175K |
| 2020 | 43 | $441.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 866 | 864 | $66K | |
| 92250 | 1,370 | 1,363 | $65K | |
| 76512 | 985 | 567 | $60K | |
| 92083 | 1,141 | 1,108 | $59K | |
| 92285 | 1,401 | 1,378 | $39K | |
| 92014 | 400 | 400 | $26K | |
| 92060 | 576 | 568 | $21K | |
| 92225 | 352 | 172 | $5K | |
| V2020 | Vision svcs frames purchases | 798 | 797 | $3K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 260 | 130 | $1K |
| V2100 | Lens spher single plano 4.00 | 140 | 72 | $821.60 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 26 | 13 | $228.64 |
| V2755 | Uv lens/es | 44 | 22 | $0.00 |
| V2784 | Lens polycarb or equal | 32 | 16 | $0.00 |