NPI: 1689057408 · RYE BROOK, NY 10573 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 180 | $6K |
| 2022 | 920 | $32K |
| 2023 | 1,722 | $63K |
| 2024 | 2,135 | $87K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 822 | 821 | $32K | |
| 92250 | 619 | 618 | $31K | |
| 92083 | 521 | 519 | $28K | |
| 92285 | 600 | 599 | $25K | |
| 92286 | 229 | 229 | $19K | |
| V2020 | Vision svcs frames purchases | 877 | 869 | $19K |
| V2100 | Lens spher single plano 4.00 | 583 | 579 | $15K |
| 76512 | 230 | 121 | $11K | |
| 92060 | 106 | 105 | $4K | |
| 76514 | 249 | 249 | $2K | |
| 92014 | 43 | 43 | $2K | |
| 92020 | 78 | 78 | $966.91 |