NPI: 1720236011 · DEPTFORD, NJ 08096 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 598 | $0.00 |
| 2019 | 615 | $0.00 |
| 2020 | 612 | $0.00 |
| 2021 | 1,398 | $8K |
| 2022 | 2,122 | $17K |
| 2023 | 2,316 | $20K |
| 2024 | 1,072 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 4,132 | 4,102 | $20K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,458 | 2,391 | $16K |
| V2100 | Lens spher single plano 4.00 | 918 | 899 | $14K |
| V2781 | Progressive lens per lens | 27 | 25 | $1K |
| V2784 | Lens polycarb or equal | 274 | 259 | $835.24 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 28 | 26 | $670.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 57 | 52 | $324.25 |
| V2744 | Tint photochromatic lens/es | 12 | 12 | $0.00 |
| V2750 | Anti-reflective coating | 472 | 446 | $0.00 |
| V2025 | Eyeglasses delux frames | 355 | 314 | $0.00 |