NPI: 1407160815 · GARLAND, TX 75042 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 129 | $4K |
| 2021 | 1,251 | $28K |
| 2022 | 1,136 | $28K |
| 2023 | 416 | $6K |
| 2024 | 216 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 710 | 684 | $21K |
| 92004 | 342 | 307 | $17K | |
| V2100 | Lens spher single plano 4.00 | 765 | 709 | $16K |
| S0620 | Routine ophthalmological exa | 169 | 165 | $7K |
| 92014 | 95 | 83 | $4K | |
| S0621 | Routine ophthalmological exa | 66 | 62 | $3K |
| V2784 | Lens polycarb or equal | 276 | 273 | $1K |
| 92015 | 646 | 587 | $979.34 | |
| V2025 | Eyeglasses delux frames | 79 | 61 | $918.00 |