NPI: 1639265150 · PERTH AMBOY, NJ 08861 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 374 | $0.00 |
| 2019 | 268 | $0.00 |
| 2020 | 739 | $289.20 |
| 2021 | 780 | $292.24 |
| 2022 | 729 | $154.44 |
| 2023 | 520 | $144.20 |
| 2024 | 280 | $70.90 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 805 | 805 | $950.98 | |
| V2784 | Lens polycarb or equal | 167 | 166 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 55 | 55 | $0.00 |
| V2299 | Lens bifocal speciality | 62 | 62 | $0.00 |
| V2781 | Progressive lens per lens | 64 | 64 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 116 | 116 | $0.00 |
| 92015 | 918 | 918 | $0.00 | |
| V2020 | Vision svcs frames purchases | 1,304 | 1,302 | $0.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 199 | 199 | $0.00 |