NPI: 1265476766 · BRICK, NJ 08723 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 124 | $3K |
| 2019 | 125 | $2K |
| 2020 | 46 | $158.40 |
| 2021 | 47 | $221.40 |
| 2022 | 1,195 | $3K |
| 2023 | 1,827 | $4K |
| 2024 | 2,010 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 502 | 484 | $10K | |
| 92004 | 864 | 854 | $4K | |
| 92015 | 1,600 | 1,570 | $2K | |
| V2020 | Vision svcs frames purchases | 784 | 774 | $40.00 |
| V2760 | Scratch resistant coating | 24 | 12 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 1,078 | 555 | $0.00 |
| 3072F | 29 | 26 | $0.00 | |
| V2784 | Lens polycarb or equal | 493 | 256 | $0.00 |