NPI: 1912075276 · SOMERSET, NJ 08873 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 918 | $0.00 |
| 2019 | 351 | $0.00 |
| 2022 | 12 | $0.00 |
| 2023 | 64 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Lens spher single plano 4.00 | 87 | 72 | $0.00 |
| V2784 | Lens polycarb or equal | 327 | 215 | $0.00 |
| S0620 | Routine ophthalmological exa | 12 | 12 | $0.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 73 | 40 | $0.00 |
| 92004 | 12 | 12 | $0.00 | |
| 92014 | 354 | 354 | $0.00 | |
| V2020 | Vision svcs frames purchases | 387 | 386 | $0.00 |
| S0621 | Routine ophthalmological exa | 30 | 30 | $0.00 |
| 92015 | 63 | 63 | $0.00 |