NPI: 1386866895 · DENTON, TX 76201 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 105 | $3K |
| 2021 | 610 | $16K |
| 2022 | 889 | $31K |
| 2023 | 752 | $24K |
| 2024 | 640 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,433 | 1,406 | $35K |
| S0621 | Routine ophthalmological exa | 611 | 609 | $27K |
| S0620 | Routine ophthalmological exa | 335 | 329 | $14K |
| V2100 | Lens spher single plano 4.00 | 315 | 313 | $10K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 290 | 281 | $8K |
| V2760 | Scratch resistant coating | 12 | 12 | $210.00 |