NPI: 1417982240 · PENNSVILLE, NJ 08070 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,621 | $10K |
| 2019 | 2,856 | $9K |
| 2020 | 1,863 | $5K |
| 2021 | 2,812 | $5K |
| 2022 | 2,240 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,925 | 2,920 | $26K | |
| 92004 | 414 | 414 | $4K | |
| 92015 | 710 | 708 | $1K | |
| V2020 | Vision svcs frames purchases | 2,883 | 2,744 | $472.00 |
| V2100 | Lens spher single plano 4.00 | 2,009 | 997 | $221.60 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,682 | 832 | $102.00 |
| V2784 | Lens polycarb or equal | 2,298 | 1,169 | $87.40 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 160 | 86 | $0.00 |
| S0621 | Routine ophthalmological exa | 156 | 156 | $0.00 |
| V2200 | Lens spher bifoc plano 4.00d | 110 | 54 | $0.00 |
| S0620 | Routine ophthalmological exa | 45 | 45 | $0.00 |