NPI: 1245239904 · TEXARKANA, TX 75503 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 164 | $7K |
| 2019 | 45 | $2K |
| 2020 | 97 | $4K |
| 2021 | 294 | $9K |
| 2022 | 1,027 | $28K |
| 2023 | 1,562 | $32K |
| 2024 | 423 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | 521 | 504 | $24K | |
| S0620 | Routine ophthalmological exa | 492 | 441 | $23K |
| V2020 | Vision svcs frames purchases | 1,010 | 849 | $14K |
| 92015 | 394 | 371 | $11K | |
| S0621 | Routine ophthalmological exa | 170 | 160 | $8K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 516 | 439 | $7K |
| V2100 | Lens spher single plano 4.00 | 196 | 170 | $3K |
| 92004 | 29 | 27 | $2K | |
| 92014 | 35 | 32 | $1K | |
| 92002 | 27 | 26 | $1K | |
| G9905 | No pt tbco scrn rng | 71 | 65 | $0.00 |
| G8427 | Docrev cur meds by elig clin | 131 | 126 | $0.00 |
| V2784 | Lens polycarb or equal | 20 | 16 | $0.00 |