NPI: 1215923867 · CLOVIS, NM 88101 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,140 | $236K |
| 2019 | 606 | $18K |
| 2020 | 1,150 | $31K |
| 2021 | 867 | $22K |
| 2022 | 886 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,287 | 1,284 | $108K | |
| 92004 | 1,009 | 1,003 | $106K | |
| 92340 | 2,060 | 2,048 | $74K | |
| 92015 | 2,666 | 2,653 | $17K | |
| V2020 | Vision svcs frames purchases | 928 | 919 | $16K |
| 92012 | 68 | 68 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 590 | 588 | $4K |
| 92370 | 22 | 22 | $440.00 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 19 | 19 | $158.08 |