NPI: 1578545133 · HAMMONTON, NJ 08037 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 739 | $2K |
| 2019 | 310 | $1K |
| 2020 | 12 | $39.60 |
| 2022 | 52 | $239.20 |
| 2023 | 33 | $61.60 |
| 2024 | 25 | $92.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 176 | 176 | $2K | |
| 92004 | 92 | 92 | $1K | |
| 92015 | 105 | 105 | $382.80 | |
| 92340 | 12 | 12 | $160.00 | |
| V2020 | Vision svcs frames purchases | 358 | 357 | $60.00 |
| S0621 | Routine ophthalmological exa | 15 | 15 | $0.00 |
| V2784 | Lens polycarb or equal | 241 | 130 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 129 | 72 | $0.00 |
| S0620 | Routine ophthalmological exa | 13 | 13 | $0.00 |
| 2033F | 30 | 30 | $0.00 |