NPI: 1235239591 · PASSAIC, NJ 07055 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 883 | $19K |
| 2019 | 2,015 | $51K |
| 2020 | 395 | $5K |
| 2021 | 224 | $2K |
| 2022 | 286 | $5K |
| 2023 | 433 | $7K |
| 2024 | 38 | $123.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 793 | 793 | $41K | |
| 92004 | 823 | 822 | $38K | |
| 92015 | 2,423 | 2,423 | $9K | |
| 92340 | 38 | 38 | $760.00 | |
| 3072F | 13 | 13 | $0.00 | |
| V2784 | Lens polycarb or equal | 12 | 12 | $0.00 |
| S0620 | Routine ophthalmological exa | 12 | 12 | $0.00 |
| V2020 | Vision svcs frames purchases | 63 | 62 | $0.00 |
| S0621 | Routine ophthalmological exa | 97 | 96 | $0.00 |