NPI: 1447427638 · FARMINGTON, NM 87401 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 170 | $4K |
| 2019 | 3,311 | $89K |
| 2020 | 2,830 | $71K |
| 2021 | 2,994 | $84K |
| 2022 | 1,961 | $62K |
| 2023 | 1,653 | $83K |
| 2024 | 2,101 | $155K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 1,930 | 1,918 | $160K | |
| 92014 | 1,727 | 1,719 | $136K | |
| V2020 | Vision svcs frames purchases | 3,946 | 3,924 | $110K |
| 92340 | 1,708 | 1,699 | $58K | |
| V2100 | Lens spher single plano 4.00 | 1,293 | 1,290 | $42K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,001 | 996 | $18K |
| V2784 | Lens polycarb or equal | 1,358 | 1,355 | $10K |
| 92015 | 1,761 | 1,752 | $9K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 143 | 143 | $3K |
| V2025 | Eyeglasses delux frames | 73 | 72 | $2K |
| V2744 | Tint photochromatic lens/es | 80 | 80 | $80.00 |