NPI: 1265882450 · GAINESVILLE, TX 76240 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 122 | $2K |
| 2022 | 780 | $31K |
| 2023 | 1,161 | $36K |
| 2024 | 709 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 246 | 241 | $24K | |
| 92004 | 162 | 157 | $19K | |
| 92015 | 897 | 873 | $13K | |
| V2020 | Vision svcs frames purchases | 784 | 769 | $13K |
| S0621 | Routine ophthalmological exa | 212 | 211 | $9K |
| V2784 | Lens polycarb or equal | 109 | 105 | $4K |
| S0620 | Routine ophthalmological exa | 66 | 66 | $3K |
| V2100 | Lens spher single plano 4.00 | 105 | 104 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 131 | 110 | $2K |
| 92012 | 13 | 13 | $934.26 | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 17 | 12 | $297.81 |
| 3072F | 30 | 29 | $290.00 |