NPI: 1982885232 · BROOKLYN, NY 11220 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 414 | $12K |
| 2019 | 413 | $10K |
| 2020 | 210 | $5K |
| 2021 | 125 | $3K |
| 2022 | 63 | $770.00 |
| 2023 | 3,568 | $122K |
| 2024 | 1,603 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,348 | 2,303 | $110K |
| V2100 | Lens spher single plano 4.00 | 1,823 | 1,233 | $38K |
| V2219 | Lens bifocal seg width over | 304 | 298 | $22K |
| V2200 | Lens spher bifoc plano 4.00d | 229 | 130 | $7K |
| 92341 | 325 | 320 | $5K | |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 69 | 69 | $4K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 24 | 24 | $540.50 |
| V2784 | Lens polycarb or equal | 178 | 87 | $40.00 |
| V2299 | Lens bifocal speciality | 346 | 172 | $0.00 |
| V2781 | Progressive lens per lens | 346 | 172 | $0.00 |
| V2750 | Anti-reflective coating | 342 | 170 | $0.00 |
| V2025 | Eyeglasses delux frames | 62 | 62 | $0.00 |