NPI: 1124588405 · EL DORADO, AR 71730 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 749 | $28K |
| 2020 | 992 | $44K |
| 2021 | 1,327 | $59K |
| 2022 | 952 | $48K |
| 2023 | 823 | $42K |
| 2024 | 732 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 2,771 | 2,662 | $128K | |
| S0621 | Routine ophthalmological exa | 1,567 | 1,539 | $86K |
| S0620 | Routine ophthalmological exa | 744 | 714 | $41K |
| 92015 | 67 | 59 | $2K | |
| 92370 | 14 | 14 | $483.14 | |
| 92014 | 12 | 12 | $480.70 | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 73 | 49 | $0.00 |
| G8428 | Cur meds not document | 12 | 12 | $0.00 |
| V2020 | Vision svcs frames purchases | 297 | 268 | $0.00 |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 18 | 12 | $0.00 |