NPI: 1356500730 · DALLAS, TX 75227 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 127 | $4K |
| 2019 | 246 | $7K |
| 2020 | 1,226 | $41K |
| 2021 | 4,136 | $181K |
| 2022 | 10,299 | $435K |
| 2023 | 11,463 | $510K |
| 2024 | 9,101 | $410K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 2,721 | 2,648 | $257K | |
| S0621 | Routine ophthalmological exa | 3,683 | 3,592 | $251K |
| V2020 | Vision svcs frames purchases | 7,421 | 7,201 | $235K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,529 | 4,415 | $128K |
| V2784 | Lens polycarb or equal | 1,591 | 1,529 | $122K |
| 92004 | 1,129 | 1,076 | $122K | |
| V2410 | Lens variab asphericity sing | 1,556 | 1,492 | $85K |
| 92250 | 1,487 | 1,427 | $84K | |
| 92015 | 6,500 | 6,245 | $83K | |
| S0620 | Routine ophthalmological exa | 1,052 | 1,028 | $68K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 1,608 | 1,557 | $48K |
| 99213 | 1,395 | 1,322 | $47K | |
| V2100 | Lens spher single plano 4.00 | 606 | 588 | $19K |
| 99212 | 593 | 554 | $13K | |
| 92083 | 214 | 206 | $10K | |
| V2025 | Eyeglasses delux frames | 165 | 162 | $8K |
| 92133 | 202 | 195 | $7K | |
| V2105 | Spherocylinder 4.00d/4.25-6d | 65 | 64 | $2K |
| 76514 | 26 | 26 | $197.26 | |
| 1036F | 55 | 53 | $0.00 |