NPI: 1487687323 · WICHITA FALLS, TX 76309 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 199 | $6K |
| 2023 | 260 | $6K |
| 2024 | 56 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 227 | 222 | $4K |
| S0621 | Routine ophthalmological exa | 33 | 33 | $3K |
| S0620 | Routine ophthalmological exa | 20 | 20 | $2K |
| V2020 | Vision svcs frames purchases | 94 | 92 | $2K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 83 | 83 | $1K |
| 92250 | 27 | 27 | $1K | |
| V2025 | Eyeglasses delux frames | 31 | 31 | $1K |