NPI: 1346389459 · RAHWAY, NJ 07065 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,258 | $0.00 |
| 2019 | 888 | $0.00 |
| 2020 | 184 | $0.00 |
| 2021 | 100 | $0.00 |
| 2022 | 30 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 330 | 328 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 356 | 224 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 109 | 95 | $0.00 |
| V2784 | Lens polycarb or equal | 436 | 285 | $0.00 |
| 92014 | 339 | 337 | $0.00 | |
| V2020 | Vision svcs frames purchases | 874 | 859 | $0.00 |
| S0621 | Routine ophthalmological exa | 16 | 16 | $0.00 |