NPI: 1699044891 · BROOKLYN, NY 11209 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 147 | $1K |
| 2019 | 390 | $6K |
| 2020 | 646 | $14K |
| 2021 | 310 | $8K |
| 2022 | 217 | $4K |
| 2023 | 552 | $11K |
| 2024 | 965 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 727 | 712 | $22K | |
| 92250 | 723 | 714 | $12K | |
| 92004 | 184 | 184 | $10K | |
| 92285 | 572 | 562 | $5K | |
| 92083 | 247 | 240 | $3K | |
| V2020 | Vision svcs frames purchases | 341 | 337 | $3K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 68 | 66 | $2K |
| 92341 | 83 | 83 | $1K | |
| V2100 | Lens spher single plano 4.00 | 50 | 25 | $780.52 |
| V2200 | Lens spher bifoc plano 4.00d | 13 | 13 | $273.00 |
| 92133 | 12 | 12 | $160.45 | |
| 76512 | 92 | 85 | $152.98 | |
| 92340 | 14 | 14 | $120.00 | |
| 92015 | 19 | 19 | $57.00 | |
| V2784 | Lens polycarb or equal | 28 | 14 | $0.00 |
| G8428 | Cur meds not document | 42 | 39 | $0.00 |
| G9368 | >= 2 same hi-rsk med not ord | 12 | 12 | $0.00 |