NPI: 1154393338 · PASSAIC, NJ 07055 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 400 | $0.00 |
| 2019 | 1,193 | $0.00 |
| 2020 | 1,269 | $0.00 |
| 2021 | 1,272 | $0.00 |
| 2022 | 1,835 | $0.00 |
| 2023 | 3,301 | $0.00 |
| 2024 | 1,898 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 530 | 528 | $0.00 | |
| V2784 | Lens polycarb or equal | 662 | 638 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 245 | 229 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 564 | 547 | $0.00 |
| 92002 | 31 | 31 | $0.00 | |
| V2744 | Tint photochromatic lens/es | 27 | 26 | $0.00 |
| 92310 | 12 | 12 | $0.00 | |
| 92014 | 2,005 | 1,977 | $0.00 | |
| 92012 | 1,442 | 1,404 | $0.00 | |
| 92015 | 3,838 | 3,741 | $0.00 | |
| V2020 | Vision svcs frames purchases | 1,430 | 1,371 | $0.00 |
| V2750 | Anti-reflective coating | 382 | 358 | $0.00 |