NPI: 1407463326 · GARLAND, TX 75043 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 3,851 | $97K |
| 2023 | 3,738 | $95K |
| 2024 | 2,048 | $62K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 1,562 | 1,533 | $73K |
| S0620 | Routine ophthalmological exa | 1,569 | 1,532 | $70K |
| V2020 | Vision svcs frames purchases | 2,440 | 2,383 | $55K |
| V2100 | Lens spher single plano 4.00 | 2,534 | 2,466 | $48K |
| V2784 | Lens polycarb or equal | 134 | 132 | $3K |
| V2750 | Anti-reflective coating | 104 | 103 | $2K |
| 92250 | 1,115 | 1,068 | $2K | |
| 92015 | 92 | 91 | $155.51 | |
| 99199 | 40 | 40 | $0.00 | |
| 92004 | 47 | 46 | $0.00 |