NPI: 1649744863 · LAKEWOOD, NJ 08701 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 3,316 | $0.00 |
| 2023 | 12,541 | $134K |
| 2024 | 13,394 | $151K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 7,916 | 7,745 | $93K |
| V2100 | Lens spher single plano 4.00 | 9,099 | 8,927 | $75K |
| V2020 | Vision svcs frames purchases | 9,976 | 9,779 | $75K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 316 | 316 | $18K |
| V2200 | Lens spher bifoc plano 4.00d | 980 | 971 | $10K |
| V2520 | Contact lens hydrophilic | 547 | 542 | $10K |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 66 | 66 | $4K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 46 | 46 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 305 | 299 | $0.00 |