NPI: 1386848059 · WEST NEW YORK, NJ 07093 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,906 | $3K |
| 2019 | 2,353 | $5K |
| 2020 | 2,749 | $4K |
| 2021 | 3,770 | $3K |
| 2022 | 4,590 | $0.00 |
| 2023 | 5,304 | $0.00 |
| 2024 | 3,304 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 633 | 633 | $11K | |
| V2100 | Lens spher single plano 4.00 | 5,918 | 2,982 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 500 | 260 | $468.00 |
| V2784 | Lens polycarb or equal | 5,545 | 2,767 | $128.82 |
| V2020 | Vision svcs frames purchases | 3,565 | 3,530 | $60.00 |
| V2750 | Anti-reflective coating | 2,423 | 1,188 | $0.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 612 | 320 | $0.00 |
| V2781 | Progressive lens per lens | 1,587 | 797 | $0.00 |
| V2299 | Lens bifocal speciality | 1,178 | 583 | $0.00 |
| V2744 | Tint photochromatic lens/es | 1,465 | 724 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 550 | 292 | $0.00 |