NPI: 1356570907 · GEORGETOWN, TX 78626 · 152WP0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 28 | $1K |
| 2023 | 1,275 | $35K |
| 2024 | 1,164 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 653 | 630 | $27K |
| S0621 | Routine ophthalmological exa | 335 | 328 | $14K |
| V2020 | Vision svcs frames purchases | 638 | 597 | $13K |
| V2100 | Lens spher single plano 4.00 | 332 | 315 | $7K |
| V2784 | Lens polycarb or equal | 404 | 377 | $6K |
| V2102 | Singl visn sphere 7.12-20.00 | 81 | 78 | $2K |
| V2025 | Eyeglasses delux frames | 12 | 12 | $835.44 |
| V2106 | Spherocylinder 4.00d/>6.00d | 12 | 12 | $124.56 |