NPI: 1417355595 · WICHITA FALLS, TX 76308 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 137 | $3K |
| 2021 | 989 | $16K |
| 2022 | 675 | $14K |
| 2023 | 1,328 | $22K |
| 2024 | 682 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,744 | 1,629 | $32K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,247 | 1,142 | $24K |
| V2025 | Eyeglasses delux frames | 196 | 167 | $5K |
| V2784 | Lens polycarb or equal | 449 | 406 | $4K |
| V2100 | Lens spher single plano 4.00 | 92 | 86 | $2K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 40 | 40 | $832.95 |
| V2799 | Misc vision item or service | 43 | 40 | $87.73 |