NPI: 1457362055 · TOMS RIVER, NJ 08753 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,116 | $6K |
| 2019 | 415 | $3K |
| 2020 | 149 | $2K |
| 2021 | 138 | $2K |
| 2022 | 102 | $2K |
| 2023 | 184 | $2K |
| 2024 | 39 | $643.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 713 | 681 | $13K | |
| 92340 | 131 | 131 | $2K | |
| 92015 | 675 | 642 | $1K | |
| 92004 | 57 | 57 | $611.60 | |
| V2020 | Vision svcs frames purchases | 371 | 368 | $220.00 |
| V2100 | Lens spher single plano 4.00 | 106 | 100 | $84.00 |
| S0621 | Routine ophthalmological exa | 15 | 15 | $0.00 |
| V2784 | Lens polycarb or equal | 49 | 26 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 26 | 13 | $0.00 |