NPI: 1184877748 · ALLEN, TX 75002 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 358 | $7K |
| 2021 | 626 | $15K |
| 2022 | 666 | $8K |
| 2023 | 294 | $7K |
| 2024 | 67 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 474 | 407 | $16K |
| V2020 | Vision svcs frames purchases | 634 | 540 | $13K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 350 | 279 | $5K |
| S0621 | Routine ophthalmological exa | 93 | 82 | $3K |
| V2100 | Lens spher single plano 4.00 | 36 | 36 | $792.00 |
| V2784 | Lens polycarb or equal | 424 | 339 | $143.00 |