LUXOTTICA OF AMERICA INC
NPI: 1205980562
· DELRAN, NJ 08075
· 332H00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
546 |
$0.00 |
| 2023 |
593 |
$0.00 |
| 2024 |
75 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens polycarb or equal |
166 |
99 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
214 |
121 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
120 |
73 |
$0.00 |
| V2799 |
Misc vision item or service |
29 |
29 |
$0.00 |
| V2025 |
Eyeglasses delux frames |
152 |
151 |
$0.00 |
| V2020 |
Vision svcs frames purchases |
257 |
256 |
$0.00 |
| V2750 |
Anti-reflective coating |
276 |
155 |
$0.00 |