NPI: 1295890937 · GRANTS, NM 87020 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,078 | $96K |
| 2019 | 2,808 | $80K |
| 2020 | 889 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 889 | 873 | $63K | |
| 92004 | 720 | 706 | $57K | |
| 92340 | 1,229 | 1,203 | $34K | |
| V2020 | Vision svcs frames purchases | 1,163 | 1,135 | $21K |
| V2100 | Lens spher single plano 4.00 | 462 | 410 | $10K |
| 92015 | 1,687 | 1,656 | $9K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 495 | 398 | $4K |
| 92012 | 41 | 41 | $3K | |
| V2025 | Eyeglasses delux frames | 44 | 44 | $1K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 45 | 38 | $384.32 |