NPI: 1609976836 · PATERSON, NJ 07505 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,389 | $24K |
| 2019 | 4,068 | $26K |
| 2020 | 4,430 | $19K |
| 2021 | 7,368 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,708 | 2,708 | $38K | |
| 92004 | 1,736 | 1,736 | $19K | |
| 92340 | 1,346 | 1,344 | $19K | |
| 92015 | 1,785 | 1,783 | $6K | |
| 92341 | 106 | 106 | $2K | |
| V2020 | Vision svcs frames purchases | 2,788 | 2,725 | $940.00 |
| 92250 | 14 | 14 | $560.00 | |
| V2100 | Lens spher single plano 4.00 | 3,429 | 1,708 | $382.40 |
| V2784 | Lens polycarb or equal | 2,317 | 1,150 | $228.00 |
| V2200 | Lens spher bifoc plano 4.00d | 682 | 341 | $143.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 320 | 162 | $72.00 |
| V2750 | Anti-reflective coating | 24 | 12 | $0.00 |