NPI: 1447378708 · HACKENSACK, NJ 07601 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,445 | $23K |
| 2019 | 254 | $3K |
| 2022 | 12 | $395.04 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 149 | 148 | $6K | |
| V2020 | Vision svcs frames purchases | 491 | 487 | $5K |
| 92004 | 102 | 102 | $5K | |
| V2100 | Lens spher single plano 4.00 | 209 | 167 | $4K |
| 92002 | 31 | 31 | $2K | |
| V2784 | Lens polycarb or equal | 601 | 379 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 29 | 26 | $1K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 31 | 23 | $913.64 |
| 92015 | 32 | 32 | $552.20 | |
| 92340 | 36 | 36 | $15.00 |