NPI: 1144257155 · WEST ORANGE, NJ 07052 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 151 | $0.00 |
| 2019 | 363 | $78.98 |
| 2020 | 351 | $0.00 |
| 2021 | 421 | $633.92 |
| 2022 | 1,002 | $3K |
| 2023 | 848 | $3K |
| 2024 | 1,115 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 777 | 755 | $7K | |
| 92015 | 603 | 592 | $4K | |
| 92083 | 102 | 101 | $2K | |
| 92134 | 135 | 119 | $2K | |
| 68761 | 30 | 29 | $1K | |
| 92012 | 74 | 62 | $1K | |
| 92133 | 73 | 73 | $1K | |
| 92202 | 313 | 288 | $585.57 | |
| 92020 | 42 | 40 | $571.27 | |
| 92286 | 46 | 43 | $450.00 | |
| 92250 | 15 | 14 | $404.69 | |
| 92145 | 33 | 32 | $163.03 | |
| 92004 | 89 | 88 | $158.00 | |
| V2020 | Vision svcs frames purchases | 1,553 | 1,545 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 177 | 103 | $0.00 |
| V2784 | Lens polycarb or equal | 168 | 98 | $0.00 |
| V2781 | Progressive lens per lens | 21 | 12 | $0.00 |