NPI: 1700075595 · RIDGEWOOD, NY 11385 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,172 | $69K |
| 2019 | 4,351 | $47K |
| 2020 | 1,262 | $17K |
| 2021 | 737 | $15K |
| 2022 | 621 | $14K |
| 2023 | 114 | $3K |
| 2024 | 1,111 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 2,373 | 2,364 | $59K | |
| V2100 | Lens spher single plano 4.00 | 3,283 | 2,741 | $50K |
| V2020 | Vision svcs frames purchases | 4,376 | 4,337 | $50K |
| V2200 | Lens spher bifoc plano 4.00d | 641 | 510 | $13K |
| V2784 | Lens polycarb or equal | 1,955 | 1,404 | $7K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,052 | 523 | $6K |
| 92014 | 264 | 263 | $3K | |
| S0620 | Routine ophthalmological exa | 92 | 92 | $2K |
| S0621 | Routine ophthalmological exa | 55 | 55 | $1K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 54 | 27 | $285.80 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 30 | 15 | $205.40 |
| 92015 | 193 | 193 | $0.00 |