NPI: 1891890489 · BRIDGEWATER, NJ 08807 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,763 | $43.00 |
| 2019 | 879 | $0.00 |
| 2021 | 74 | $500.80 |
| 2022 | 220 | $2K |
| 2023 | 38 | $815.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 115 | 113 | $1K | |
| 92004 | 431 | 431 | $1K | |
| 92015 | 169 | 169 | $523.60 | |
| 92014 | 232 | 232 | $500.40 | |
| V2020 | Vision svcs frames purchases | 667 | 653 | $0.00 |
| V2750 | Anti-reflective coating | 26 | 13 | $0.00 |
| S0621 | Routine ophthalmological exa | 29 | 29 | $0.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 24 | 12 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 629 | 321 | $0.00 |
| V2784 | Lens polycarb or equal | 544 | 290 | $0.00 |
| S0620 | Routine ophthalmological exa | 83 | 83 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 25 | 15 | $0.00 |