NPI: 1003314352 · WICHITA FALLS, TX 76309 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,083 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 69 | 69 | $7K | |
| S0620 | Routine ophthalmological exa | 94 | 94 | $5K |
| V2020 | Vision svcs frames purchases | 159 | 157 | $4K |
| V2784 | Lens polycarb or equal | 242 | 242 | $4K |
| S0621 | Routine ophthalmological exa | 79 | 79 | $4K |
| V2025 | Eyeglasses delux frames | 99 | 99 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 151 | 151 | $4K |
| 92250 | 39 | 39 | $3K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 57 | 57 | $1K |
| 92015 | 78 | 78 | $1K | |
| V2100 | Lens spher single plano 4.00 | 16 | 16 | $278.85 |