NPI: 1346284643 · GARLAND, TX 75042 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 891 | $27K |
| 2024 | 325 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 132 | 125 | $12K | |
| 92014 | 109 | 106 | $8K | |
| V2100 | Lens spher single plano 4.00 | 329 | 308 | $6K |
| V2025 | Eyeglasses delux frames | 219 | 210 | $4K |
| S0620 | Routine ophthalmological exa | 36 | 36 | $2K |
| S0621 | Routine ophthalmological exa | 32 | 30 | $2K |
| V2020 | Vision svcs frames purchases | 15 | 15 | $255.00 |
| 92015 | 344 | 333 | $55.36 |