NPI: 1194109678 · CLIFTON, NJ 07011 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,652 | $10K |
| 2019 | 6,629 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,275 | 2,271 | $16K | |
| 99213 | 334 | 310 | $9K | |
| 92004 | 1,067 | 1,067 | $5K | |
| 92250 | 109 | 109 | $4K | |
| V2020 | Vision svcs frames purchases | 2,538 | 2,537 | $0.00 |
| S0621 | Routine ophthalmological exa | 152 | 152 | $0.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 12 | 12 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,846 | 958 | $0.00 |
| V2784 | Lens polycarb or equal | 2,194 | 1,155 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 1,425 | 766 | $0.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 217 | 115 | $0.00 |
| S0620 | Routine ophthalmological exa | 112 | 112 | $0.00 |