NPI: 1356623946 · JERSEY CITY, NJ 07306 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,185 | $55K |
| 2019 | 1,683 | $25K |
| 2020 | 343 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,204 | 1,200 | $54K | |
| 92340 | 1,023 | 1,019 | $20K | |
| 92015 | 1,251 | 1,250 | $5K | |
| 92004 | 33 | 33 | $768.40 | |
| V2020 | Vision svcs frames purchases | 365 | 364 | $260.00 |
| V2784 | Lens polycarb or equal | 167 | 164 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 42 | 41 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 126 | 125 | $0.00 |