NPI: 1891738415 · PHILIPSBURG, NJ 08865 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,857 | $0.00 |
| 2019 | 6,378 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 723 | 446 | $0.00 |
| V2750 | Anti-reflective coating | 853 | 453 | $0.00 |
| V2020 | Vision svcs frames purchases | 2,997 | 2,986 | $0.00 |
| V2107 | Spherocylinder 4.25d/12-2d | 76 | 50 | $0.00 |
| 92014 | 285 | 285 | $0.00 | |
| V2100 | Lens spher single plano 4.00 | 1,144 | 779 | $0.00 |
| V2744 | Tint photochromatic lens/es | 307 | 170 | $0.00 |
| 92002 | 3,297 | 3,297 | $0.00 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,712 | 1,670 | $0.00 |
| S0581 | Nonstnd lens | 86 | 49 | $0.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 220 | 153 | $0.00 |
| 92004 | 51 | 51 | $0.00 | |
| S0500 | Dispos cont lens | 431 | 431 | $0.00 |
| V2200 | Lens spher bifoc plano 4.00d | 53 | 38 | $0.00 |