NPI: 1306856091 · BERGENFIELD, NJ 07621 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 658 | $0.00 |
| 2020 | 520 | $0.00 |
| 2021 | 3,270 | $0.00 |
| 2022 | 3,352 | $0.00 |
| 2023 | 3,380 | $0.00 |
| 2024 | 2,162 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,349 | 1,339 | $0.00 | |
| V2784 | Lens polycarb or equal | 1,479 | 1,466 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 288 | 287 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 1,621 | 1,611 | $0.00 |
| 92310 | 55 | 55 | $0.00 | |
| V2744 | Tint photochromatic lens/es | 12 | 12 | $0.00 |
| V2200 | Lens spher bifoc plano 4.00d | 130 | 130 | $0.00 |
| G9903 | Pt scrn tbco id as non user | 35 | 35 | $0.00 |
| G8428 | Cur meds not document | 38 | 38 | $0.00 |
| 1036F | 35 | 35 | $0.00 | |
| 92014 | 2,341 | 2,309 | $0.00 | |
| 92015 | 2,699 | 2,654 | $0.00 | |
| V2750 | Anti-reflective coating | 579 | 574 | $0.00 |
| V2020 | Vision svcs frames purchases | 2,681 | 2,670 | $0.00 |