NPI: 1629075056 · WEST ORANGE, NJ 07052 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 239 | $4K |
| 2019 | 171 | $4K |
| 2020 | 160 | $3K |
| 2021 | 414 | $5K |
| 2022 | 745 | $3K |
| 2023 | 1,077 | $5K |
| 2024 | 1,568 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 957 | 933 | $14K | |
| 92014 | 746 | 726 | $11K | |
| 92015 | 1,476 | 1,414 | $2K | |
| V2020 | Vision svcs frames purchases | 376 | 359 | $2K |
| V2100 | Lens spher single plano 4.00 | 552 | 321 | $1K |
| 92225 | 14 | 14 | $276.92 | |
| V2784 | Lens polycarb or equal | 133 | 73 | $28.50 |
| 2025F | 16 | 16 | $0.00 | |
| 92250 | 62 | 52 | $0.00 | |
| 3072F | 42 | 42 | $0.00 |