NPI: 1902198377 · ISELIN, NJ 08830 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 152 | $6K |
| 2022 | 1,302 | $54K |
| 2023 | 2,974 | $118K |
| 2024 | 3,201 | $166K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 579 | 525 | $104K | |
| 92014 | 476 | 442 | $73K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 995 | 645 | $55K |
| V2783 | Lens, >= 1.66 p/>=1.80 g | 1,239 | 814 | $54K |
| 92340 | 1,438 | 918 | $25K | |
| V2020 | Vision svcs frames purchases | 1,605 | 1,061 | $19K |
| 92015 | 1,199 | 1,103 | $13K | |
| V2100 | Lens spher single plano 4.00 | 64 | 41 | $2K |
| 92341 | 15 | 14 | $910.00 | |
| V2784 | Lens polycarb or equal | 19 | 12 | $0.00 |