NPI: 1922038025 · ELMWOOD PARK, NJ 07407 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 113 | $1K |
| 2019 | 204 | $5K |
| 2020 | 1,467 | $10K |
| 2021 | 2,180 | $12K |
| 2022 | 2,829 | $21K |
| 2023 | 2,831 | $26K |
| 2024 | 2,157 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 1,827 | 1,799 | $70K | |
| 92012 | 2,360 | 2,271 | $23K | |
| 92002 | 711 | 707 | $2K | |
| 99212 | 26 | 25 | $611.00 | |
| V2020 | Vision svcs frames purchases | 1,622 | 1,603 | $520.00 |
| 92201 | 40 | 40 | $376.46 | |
| V2100 | Lens spher single plano 4.00 | 2,505 | 1,353 | $252.00 |
| 92340 | 12 | 12 | $200.00 | |
| 92015 | 66 | 66 | $193.60 | |
| 92014 | 18 | 18 | $55.60 | |
| V2784 | Lens polycarb or equal | 1,614 | 866 | $34.20 |
| V2750 | Anti-reflective coating | 936 | 496 | $0.00 |
| V2781 | Progressive lens per lens | 21 | 12 | $0.00 |
| V2299 | Lens bifocal speciality | 23 | 13 | $0.00 |