NPI: 1528476660 · TOTOWA, NJ 07512 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,172 | $30K |
| 2019 | 1,443 | $10K |
| 2020 | 317 | $0.00 |
| 2021 | 119 | $2K |
| 2022 | 87 | $1K |
| 2023 | 71 | $198.00 |
| 2024 | 76 | $593.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,180 | 1,176 | $35K | |
| 92015 | 1,380 | 1,376 | $4K | |
| 92014 | 131 | 131 | $3K | |
| 92310 | 15 | 15 | $720.00 | |
| 92225 | 18 | 18 | $692.30 | |
| 92060 | 14 | 14 | $294.00 | |
| 92340 | 25 | 25 | $240.00 | |
| V2100 | Lens spher single plano 4.00 | 136 | 134 | $0.00 |
| V2784 | Lens polycarb or equal | 80 | 79 | $0.00 |
| V2020 | Vision svcs frames purchases | 306 | 303 | $0.00 |