NPI: 1780368647 · BRONX, NY 10467 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 3,852 | $129K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 373 | 373 | $35K | |
| 92250 | 407 | 407 | $19K | |
| 68761 | 138 | 97 | $15K | |
| V2020 | Vision svcs frames purchases | 974 | 965 | $14K |
| V2100 | Lens spher single plano 4.00 | 670 | 552 | $14K |
| 92083 | 189 | 184 | $9K | |
| 92285 | 273 | 272 | $6K | |
| 92014 | 43 | 43 | $4K | |
| 92340 | 229 | 228 | $3K | |
| 92015 | 252 | 250 | $3K | |
| S0580 | Polycarb lens | 167 | 166 | $3K |
| V2102 | Singl visn sphere 7.12-20.00 | 79 | 79 | $2K |
| V2202 | Lens sphere bifocal 7.12-20. | 29 | 28 | $1K |
| 92341 | 29 | 29 | $526.68 |