NPI: 1780719518 · CLIFTON, NJ 07011 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,766 | $17K |
| 2019 | 2,947 | $16K |
| 2020 | 1,888 | $7K |
| 2021 | 2,224 | $8K |
| 2022 | 2,251 | $9K |
| 2023 | 1,852 | $13K |
| 2024 | 951 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,325 | 1,284 | $36K | |
| 92014 | 3,222 | 3,210 | $25K | |
| 92250 | 140 | 139 | $5K | |
| 92015 | 2,355 | 2,344 | $2K | |
| 92004 | 215 | 215 | $2K | |
| 92133 | 101 | 101 | $2K | |
| 92083 | 85 | 85 | $1K | |
| V2020 | Vision svcs frames purchases | 1,774 | 1,756 | $868.00 |
| V2784 | Lens polycarb or equal | 2,368 | 1,364 | $591.66 |
| V2100 | Lens spher single plano 4.00 | 64 | 45 | $21.00 |
| V2750 | Anti-reflective coating | 1,794 | 998 | $0.00 |
| S0621 | Routine ophthalmological exa | 59 | 59 | $0.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 43 | 27 | $0.00 |
| V2744 | Tint photochromatic lens/es | 776 | 432 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 513 | 325 | $0.00 |
| V2781 | Progressive lens per lens | 23 | 13 | $0.00 |
| V2299 | Lens bifocal speciality | 22 | 12 | $0.00 |