NPI: 1023584091 · MANAHAWKIN, NJ 08050 · Optician
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $111.20 |
| 2021 | 72 | $40.00 |
| 2022 | 26 | $0.00 |
| 2023 | 179 | $0.00 |
| 2024 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 73 | 73 | $111.20 | |
| V2020 | Frames, purchases | 28 | 27 | $40.00 |
| 92015 | 112 | 109 | $0.00 | |
| 92012 | 14 | 14 | $0.00 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 26 | 13 | $0.00 |
| V2799 | Vision item or service, miscellaneous | 28 | 13 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 24 | 12 | $0.00 |