NPI: 1720140387 · CAMDEN, NJ 08103 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 355 | $0.00 |
| 2019 | 477 | $0.00 |
| 2020 | 749 | $0.00 |
| 2021 | 914 | $0.00 |
| 2022 | 872 | $26.00 |
| 2023 | 852 | $0.00 |
| 2024 | 651 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,141 | 1,140 | $2K | |
| 92004 | 346 | 344 | $582.00 | |
| 92015 | 45 | 39 | $158.40 | |
| V2020 | Vision svcs frames purchases | 1,450 | 1,433 | $20.00 |
| S0621 | Routine ophthalmological exa | 35 | 35 | $0.00 |
| V2760 | Scratch resistant coating | 24 | 12 | $0.00 |
| V2784 | Lens polycarb or equal | 346 | 190 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 1,441 | 799 | $0.00 |
| S0620 | Routine ophthalmological exa | 29 | 29 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 13 | 13 | $0.00 |