NPI: 1265720247 · DENTON, TX 76201 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 222 | $5K |
| 2021 | 890 | $23K |
| 2022 | 1,802 | $59K |
| 2023 | 2,185 | $72K |
| 2024 | 1,925 | $65K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 1,577 | 1,569 | $79K |
| S0620 | Routine ophthalmological exa | 1,167 | 1,163 | $58K |
| V2020 | Vision svcs frames purchases | 1,628 | 1,625 | $53K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 613 | 613 | $15K |
| V2100 | Lens spher single plano 4.00 | 518 | 513 | $13K |
| V2784 | Lens polycarb or equal | 1,438 | 1,432 | $3K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 83 | 83 | $2K |