NPI: 1730463118 · WEST ORANGE, NJ 07052 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,852 | $40K |
| 2019 | 3,057 | $45K |
| 2020 | 42 | $806.40 |
| 2022 | 26 | $370.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,524 | 1,521 | $37K | |
| V2020 | Vision svcs frames purchases | 1,505 | 1,497 | $12K |
| 92014 | 176 | 176 | $6K | |
| 92250 | 147 | 147 | $6K | |
| V2784 | Lens polycarb or equal | 205 | 203 | $5K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 518 | 517 | $5K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 550 | 547 | $5K |
| 92015 | 1,028 | 1,028 | $4K | |
| 92081 | 112 | 112 | $2K | |
| V2100 | Lens spher single plano 4.00 | 135 | 135 | $2K |
| 92285 | 53 | 53 | $1K | |
| V2200 | Lens spher bifoc plano 4.00d | 24 | 24 | $481.00 |