NPI: 1407948599 · BOUND BROOK, NJ 08805 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 403 | $3K |
| 2019 | 1,524 | $2K |
| 2020 | 707 | $7K |
| 2021 | 172 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 678 | 678 | $4K | |
| V2020 | Vision svcs frames purchases | 897 | 894 | $3K |
| 92014 | 78 | 78 | $2K | |
| V2784 | Lens polycarb or equal | 353 | 236 | $1K |
| V2100 | Lens spher single plano 4.00 | 346 | 204 | $945.00 |
| 92340 | 31 | 31 | $580.00 | |
| 92015 | 130 | 130 | $435.60 | |
| V2200 | Lens spher bifoc plano 4.00d | 24 | 17 | $260.00 |
| S0620 | Routine ophthalmological exa | 51 | 51 | $26.40 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 218 | 124 | $0.00 |