NPI: 1356492789 · SOUTH PLAINFIELD, NJ 07080 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,901 | $652.00 |
| 2019 | 342 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 12 | 12 | $480.00 | |
| 92014 | 369 | 368 | $129.00 | |
| 92004 | 236 | 236 | $43.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 471 | 256 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 97 | 49 | $0.00 |
| S0620 | Routine ophthalmological exa | 91 | 91 | $0.00 |
| V2784 | Lens polycarb or equal | 910 | 486 | $0.00 |
| V2020 | Vision svcs frames purchases | 611 | 609 | $0.00 |
| V2750 | Anti-reflective coating | 376 | 188 | $0.00 |
| S0621 | Routine ophthalmological exa | 70 | 70 | $0.00 |