NPI: 1164980819 · WOODBRIDGE, NJ 07095 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 898 | $0.00 |
| 2024 | 1,165 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 387 | 387 | $0.00 | |
| 92250 | 110 | 110 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 559 | 316 | $0.00 |
| V2799 | Misc vision item or service | 100 | 50 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 48 | 30 | $0.00 |
| 92002 | 23 | 23 | $0.00 | |
| V2020 | Vision svcs frames purchases | 554 | 548 | $0.00 |
| V2750 | Anti-reflective coating | 270 | 135 | $0.00 |
| 92014 | 12 | 12 | $0.00 |