NPI: 1871544270 · SPRINGFIELD, NJ 07081 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,243 | $69K |
| 2019 | 3,159 | $58K |
| 2020 | 6,367 | $128K |
| 2021 | 4,604 | $117K |
| 2022 | 2,672 | $72K |
| 2023 | 120 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 4,891 | 4,867 | $139K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,886 | 4,865 | $104K |
| V2020 | Vision svcs frames purchases | 5,817 | 5,800 | $96K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 1,132 | 1,127 | $34K |
| 92250 | 640 | 631 | $29K | |
| V2784 | Lens polycarb or equal | 1,729 | 1,721 | $15K |
| 92285 | 481 | 452 | $14K | |
| 92025 | 268 | 265 | $6K | |
| 92082 | 178 | 178 | $6K | |
| 68761 | 12 | 12 | $2K | |
| V2100 | Lens spher single plano 4.00 | 65 | 64 | $2K |
| 92014 | 14 | 14 | $537.56 | |
| 92133 | 13 | 13 | $440.05 | |
| 92002 | 39 | 38 | $0.00 |