NPI: 1215019237 · CEDAR CREST, NM 87008 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 617 | $14K |
| 2019 | 930 | $20K |
| 2020 | 461 | $7K |
| 2021 | 893 | $15K |
| 2022 | 342 | $11K |
| 2023 | 529 | $20K |
| 2024 | 302 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 422 | 419 | $33K | |
| 92014 | 334 | 330 | $21K | |
| V2020 | Vision svcs frames purchases | 839 | 829 | $20K |
| V2100 | Lens spher single plano 4.00 | 366 | 366 | $11K |
| 92340 | 171 | 171 | $6K | |
| 92015 | 1,253 | 1,235 | $5K | |
| V2784 | Lens polycarb or equal | 448 | 369 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 213 | 129 | $1K |
| V2750 | Anti-reflective coating | 13 | 13 | $0.00 |
| V2744 | Tint photochromatic lens/es | 15 | 15 | $0.00 |