NPI: 1063407005 · GARLAND, TX 75040 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 579 | $17K |
| 2021 | 4,015 | $83K |
| 2022 | 2,089 | $39K |
| 2023 | 65 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,526 | 1,435 | $45K |
| S0621 | Routine ophthalmological exa | 961 | 925 | $43K |
| S0620 | Routine ophthalmological exa | 661 | 642 | $29K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,369 | 763 | $14K |
| V2100 | Lens spher single plano 4.00 | 769 | 435 | $8K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 172 | 108 | $2K |
| 92015 | 1,290 | 1,242 | $193.58 |