NPI: 1437274065 · GARLAND, TX 75042 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 374 | $14K |
| 2021 | 1,791 | $61K |
| 2022 | 1,215 | $39K |
| 2023 | 1,058 | $37K |
| 2024 | 615 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 1,596 | 1,595 | $83K |
| V2020 | Vision svcs frames purchases | 2,022 | 1,995 | $51K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 944 | 939 | $20K |
| S0620 | Routine ophthalmological exa | 307 | 307 | $15K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 143 | 142 | $3K |
| V2100 | Lens spher single plano 4.00 | 15 | 14 | $253.00 |
| V2107 | Spherocylinder 4.25d/12-2d | 12 | 12 | $209.00 |
| V2784 | Lens polycarb or equal | 14 | 14 | $0.00 |