NPI: 1487742086 · CYPRESS, TX 77433 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 24 | $484.75 |
| 2021 | 533 | $14K |
| 2022 | 133 | $4K |
| 2023 | 142 | $4K |
| 2024 | 64 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological exa | 266 | 261 | $11K |
| V2025 | Eyeglasses delux frames | 196 | 192 | $5K |
| V2100 | Lens spher single plano 4.00 | 272 | 265 | $5K |
| V2784 | Lens polycarb or equal | 89 | 89 | $1K |
| S0620 | Routine ophthalmological exa | 30 | 30 | $1K |
| V2750 | Anti-reflective coating | 31 | 30 | $310.55 |
| 92015 | 12 | 12 | $10.00 |