NPI: 1154498210 · TEXARKANA, TX 75503 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 202 | $6K |
| 2019 | 245 | $10K |
| 2020 | 117 | $5K |
| 2023 | 232 | $9K |
| 2024 | 1,129 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Eyeglasses delux frames | 290 | 289 | $18K |
| S0621 | Routine ophthalmological exa | 315 | 315 | $13K |
| 92340 | 293 | 293 | $9K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 403 | 400 | $8K |
| 92014 | 99 | 99 | $7K | |
| 92015 | 172 | 171 | $5K | |
| S0620 | Routine ophthalmological exa | 92 | 92 | $4K |
| V2020 | Vision svcs frames purchases | 183 | 180 | $3K |
| V2100 | Lens spher single plano 4.00 | 78 | 76 | $1K |