NPI: 1518365501 · KILLEEN, TX 76543 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $367.85 |
| 2020 | 1,021 | $28K |
| 2021 | 4,064 | $92K |
| 2022 | 3,662 | $96K |
| 2023 | 6,745 | $111K |
| 2024 | 2,973 | $65K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 6,194 | 5,117 | $162K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 4,208 | 3,666 | $89K |
| V2784 | Lens polycarb or equal | 4,545 | 3,972 | $74K |
| V2100 | Lens spher single plano 4.00 | 1,150 | 1,002 | $24K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 798 | 692 | $17K |
| V2025 | Eyeglasses delux frames | 537 | 503 | $14K |
| V2750 | Anti-reflective coating | 609 | 548 | $8K |
| V2107 | Spherocylinder 4.25d/12-2d | 318 | 206 | $4K |
| V2799 | Misc vision item or service | 118 | 116 | $0.00 |