NPI: 1093818023 · LUBBOCK, TX 79412 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 326 | $11K |
| 2021 | 1,099 | $33K |
| 2022 | 475 | $13K |
| 2024 | 78 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,192 | 1,180 | $24K |
| S0620 | Routine ophthalmological exa | 215 | 214 | $13K |
| S0621 | Routine ophthalmological exa | 177 | 176 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 221 | 220 | $6K |
| V2784 | Lens polycarb or equal | 161 | 159 | $5K |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $250.60 |