NPI: 1265762363 · GARLAND, TX 75042 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 145 | $5K |
| 2021 | 860 | $36K |
| 2022 | 1,723 | $46K |
| 2023 | 1,833 | $65K |
| 2024 | 511 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 589 | 551 | $56K | |
| 92014 | 527 | 485 | $40K | |
| V2025 | Eyeglasses delux frames | 754 | 707 | $21K |
| V2100 | Lens spher single plano 4.00 | 1,000 | 929 | $17K |
| 92015 | 1,467 | 1,339 | $13K | |
| V2020 | Vision svcs frames purchases | 338 | 330 | $6K |
| S0620 | Routine ophthalmological exa | 118 | 117 | $5K |
| S0621 | Routine ophthalmological exa | 104 | 99 | $4K |
| V2784 | Lens polycarb or equal | 49 | 42 | $917.34 |
| V2750 | Anti-reflective coating | 12 | 12 | $416.41 |
| 92340 | 114 | 105 | $0.00 |