NPI: 1851654321 · RIDGEWOOD, NY 11385 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 192 | $3K |
| 2019 | 650 | $9K |
| 2020 | 95 | $2K |
| 2021 | 243 | $9K |
| 2022 | 107 | $2K |
| 2023 | 312 | $9K |
| 2024 | 175 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 484 | 474 | $16K | |
| 92004 | 188 | 186 | $9K | |
| 92285 | 115 | 112 | $8K | |
| 92014 | 260 | 257 | $7K | |
| V2020 | Vision svcs frames purchases | 26 | 26 | $563.00 |
| 92060 | 14 | 14 | $465.78 | |
| V2100 | Lens spher single plano 4.00 | 14 | 14 | $349.24 |
| 92020 | 58 | 58 | $345.76 | |
| 92133 | 28 | 28 | $262.49 | |
| 92012 | 12 | 12 | $256.14 | |
| 92015 | 562 | 556 | $250.16 | |
| 92340 | 13 | 12 | $110.00 |