NPI: 1356523443 · ALLEN, TX 75013 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 62 | $2K |
| 2021 | 260 | $6K |
| 2022 | 382 | $12K |
| 2023 | 2,477 | $79K |
| 2024 | 2,230 | $74K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2750 | Anti-reflective coating | 809 | 808 | $36K |
| V2020 | Vision svcs frames purchases | 1,590 | 1,564 | $26K |
| 92250 | 402 | 380 | $21K | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 770 | 768 | $21K |
| 92014 | 255 | 236 | $21K | |
| V2784 | Lens polycarb or equal | 534 | 532 | $19K |
| 92004 | 106 | 100 | $11K | |
| 92012 | 182 | 168 | $10K | |
| 92015 | 708 | 675 | $6K | |
| V2200 | Lens spher bifoc plano 4.00d | 26 | 26 | $720.34 |
| V2204 | Lens sphcy bifocal 4.00d/2.1 | 17 | 17 | $523.06 |
| 76514 | 12 | 12 | $92.76 |