NPI: 1669172276 · RIO GRANDE, NJ 08242 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 952 | $0.00 |
| 2024 | 1,835 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 578 | 576 | $0.00 | |
| 92250 | 225 | 222 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 803 | 436 | $0.00 |
| 92002 | 24 | 24 | $0.00 | |
| 92310 | 52 | 52 | $0.00 | |
| 92014 | 250 | 245 | $0.00 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 50 | 28 | $0.00 |
| V2020 | Vision svcs frames purchases | 667 | 662 | $0.00 |
| V2750 | Anti-reflective coating | 138 | 69 | $0.00 |