NPI: 1477750081 · LONGVIEW, TX 75605 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 355 | $11K |
| 2021 | 1,475 | $43K |
| 2022 | 225 | $3K |
| 2023 | 275 | $6K |
| 2024 | 151 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 349 | 348 | $19K | |
| 92004 | 194 | 192 | $14K | |
| V2025 | Eyeglasses delux frames | 251 | 251 | $9K |
| V2784 | Lens polycarb or equal | 330 | 325 | $8K |
| S0620 | Routine ophthalmological exa | 117 | 104 | $5K |
| V2100 | Lens spher single plano 4.00 | 191 | 187 | $3K |
| V2020 | Vision svcs frames purchases | 244 | 238 | $3K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 175 | 173 | $3K |
| S0621 | Routine ophthalmological exa | 66 | 31 | $952.00 |
| 92015 | 550 | 547 | $30.00 | |
| V2410 | Lens variab asphericity sing | 14 | 14 | $0.00 |