NPI: 1508965823 · HARLINGEN, TX 78550 · 156FX1800X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 57 | $2K |
| 2019 | 14 | $565.50 |
| 2020 | 241 | $7K |
| 2021 | 1,752 | $48K |
| 2022 | 2,187 | $61K |
| 2023 | 106 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Eyeglasses delux frames | 1,273 | 1,264 | $46K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 677 | 658 | $26K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,011 | 995 | $24K |
| V2020 | Vision svcs frames purchases | 1,067 | 1,046 | $18K |
| V2100 | Lens spher single plano 4.00 | 244 | 240 | $5K |
| V2784 | Lens polycarb or equal | 85 | 84 | $2K |