NPI: 1124329875 · EAST ORANGE, NJ 07018 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 878 | $19K |
| 2019 | 762 | $14K |
| 2020 | 65 | $562.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 191 | 191 | $9K | |
| 92014 | 152 | 152 | $8K | |
| V2020 | Vision svcs frames purchases | 407 | 407 | $7K |
| V2100 | Lens spher single plano 4.00 | 217 | 217 | $4K |
| 92015 | 626 | 626 | $2K | |
| V2784 | Lens polycarb or equal | 55 | 55 | $1K |
| V2200 | Lens spher bifoc plano 4.00d | 25 | 25 | $572.00 |
| 92340 | 32 | 32 | $540.00 |