NPI: 1215187836 · CYPRESS, TX 77433 · 207Y00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 312 | $8K |
| 2023 | 1,005 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Eyeglasses delux frames | 337 | 321 | $9K |
| S0621 | Routine ophthalmological exa | 201 | 195 | $8K |
| S0620 | Routine ophthalmological exa | 176 | 169 | $7K |
| V2784 | Lens polycarb or equal | 337 | 324 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 186 | 173 | $3K |
| V2100 | Lens spher single plano 4.00 | 80 | 78 | $1K |