NPI: 1285032227 · WACO, TX 76710 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $319.20 |
| 2020 | 150 | $5K |
| 2021 | 971 | $20K |
| 2022 | 729 | $15K |
| 2023 | 2,324 | $32K |
| 2024 | 1,063 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,994 | 1,647 | $47K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,295 | 1,108 | $23K |
| V2784 | Lens polycarb or equal | 1,244 | 1,024 | $13K |
| V2025 | Eyeglasses delux frames | 321 | 261 | $8K |
| V2100 | Lens spher single plano 4.00 | 107 | 82 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 122 | 105 | $1K |
| V2750 | Anti-reflective coating | 81 | 53 | $442.40 |
| V2799 | Misc vision item or service | 85 | 85 | $0.00 |