NPI: 1073718177 · NORTH BERGEN, NJ 07047 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 286 | $2K |
| 2019 | 509 | $1K |
| 2020 | 599 | $1K |
| 2021 | 651 | $587.00 |
| 2022 | 266 | $573.00 |
| 2023 | 368 | $441.00 |
| 2024 | 399 | $360.82 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 987 | 981 | $3K |
| V2100 | Lens spher single plano 4.00 | 1,445 | 778 | $2K |
| V2784 | Lens polycarb or equal | 447 | 235 | $436.62 |
| V2200 | Lens spher bifoc plano 4.00d | 26 | 15 | $78.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 98 | 49 | $0.00 |
| V2599 | Contact lens/es other type | 12 | 12 | $0.00 |
| V2500 | Contact lens pmma spherical | 63 | 63 | $0.00 |