NPI: 1982776332 · MIDDLESEX, NJ 08846 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 835 | $4K |
| 2019 | 1,247 | $6K |
| 2020 | 1,215 | $7K |
| 2021 | 984 | $6K |
| 2022 | 882 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,113 | 1,106 | $12K | |
| 92004 | 745 | 740 | $6K | |
| V2020 | Vision svcs frames purchases | 1,292 | 1,268 | $5K |
| V2784 | Lens polycarb or equal | 480 | 282 | $2K |
| V2100 | Lens spher single plano 4.00 | 734 | 409 | $2K |
| V2520 | Contact lens hydrophilic | 32 | 32 | $800.00 |
| 92015 | 374 | 374 | $519.20 | |
| V2200 | Lens spher bifoc plano 4.00d | 19 | 12 | $104.00 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 268 | 140 | $0.00 |
| V2599 | Contact lens/es other type | 29 | 29 | $0.00 |
| S0620 | Routine ophthalmological exa | 39 | 39 | $0.00 |
| 3072F | 38 | 38 | $0.00 |