NPI: 1043971484 · GLASSBORO, NJ 08028 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,294 | $0.00 |
| 2024 | 2,500 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2750 | Anti-reflective coating | 150 | 75 | $0.00 |
| V2020 | Vision svcs frames purchases | 973 | 971 | $0.00 |
| 92014 | 704 | 703 | $0.00 | |
| 92310 | 187 | 187 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,102 | 637 | $0.00 |
| 92004 | 438 | 437 | $0.00 | |
| 92002 | 23 | 23 | $0.00 | |
| 92250 | 114 | 114 | $0.00 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 19 | 13 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 84 | 67 | $0.00 |