NPI: 1780883652 · WEST NEW YORK, NJ 07093 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 257 | $2K |
| 2019 | 578 | $6K |
| 2020 | 1,579 | $10K |
| 2021 | 3,316 | $27K |
| 2022 | 2,631 | $17K |
| 2023 | 2,145 | $9K |
| 2024 | 2,396 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,949 | 1,945 | $25K | |
| 92014 | 1,179 | 1,169 | $16K | |
| V2020 | Vision svcs frames purchases | 2,947 | 2,922 | $14K |
| V2100 | Lens spher single plano 4.00 | 2,950 | 1,949 | $8K |
| V2784 | Lens polycarb or equal | 1,574 | 1,013 | $8K |
| V2200 | Lens spher bifoc plano 4.00d | 714 | 554 | $6K |
| 92015 | 1,448 | 1,432 | $2K | |
| 92286 | 18 | 18 | $156.00 | |
| V2782 | Lens, 1.54-1.65 p/1.60-1.79g | 54 | 32 | $0.00 |
| S0620 | Routine ophthalmological exa | 18 | 18 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 51 | 31 | $0.00 |