NPI: 1336491679 · ATHENS, TX 75751 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 446 | $8K |
| 2019 | 879 | $8K |
| 2020 | 2,288 | $59K |
| 2021 | 2,102 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Eyeglasses delux frames | 728 | 726 | $35K |
| V2020 | Vision svcs frames purchases | 963 | 910 | $26K |
| 92014 | 568 | 541 | $23K | |
| 92340 | 1,390 | 1,373 | $21K | |
| V2100 | Lens spher single plano 4.00 | 659 | 612 | $19K |
| 92004 | 106 | 104 | $5K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 704 | 652 | $1K |
| V2784 | Lens polycarb or equal | 584 | 580 | $164.50 |
| V2750 | Anti-reflective coating | 13 | 12 | $0.00 |