NPI: 1013218692 · BAYONNE, NJ 07002 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 439 | $0.00 |
| 2020 | 703 | $0.00 |
| 2021 | 1,068 | $0.00 |
| 2022 | 320 | $0.00 |
| 2023 | 1,141 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 218 | 107 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 859 | 420 | $0.00 |
| S0592 | Comp cont lens eval | 89 | 89 | $0.00 |
| V2755 | Uv lens/es | 88 | 43 | $0.00 |
| 92004 | 360 | 359 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 70 | 35 | $0.00 |
| V2020 | Vision svcs frames purchases | 707 | 694 | $0.00 |
| 92015 | 477 | 476 | $0.00 | |
| 92014 | 714 | 713 | $0.00 | |
| V2500 | Contact lens pmma spherical | 89 | 89 | $0.00 |