NPI: 1528056124 · EDINBURG, TX 78539 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 561 | $18K |
| 2021 | 3,539 | $107K |
| 2022 | 4,395 | $135K |
| 2023 | 5,274 | $160K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens polycarb or equal | 3,580 | 2,178 | $207K |
| 92014 | 1,529 | 1,465 | $66K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,811 | 1,094 | $57K |
| 92004 | 646 | 627 | $37K | |
| V2020 | Vision svcs frames purchases | 3,268 | 2,043 | $22K |
| V2100 | Lens spher single plano 4.00 | 436 | 269 | $13K |
| 92250 | 192 | 186 | $10K | |
| 92015 | 2,135 | 2,058 | $9K | |
| V2303 | Lens sphcy trifocal 4.0/.12- | 22 | 15 | $880.00 |
| V2750 | Anti-reflective coating | 56 | 27 | $22.00 |
| V2025 | Eyeglasses delux frames | 51 | 36 | $0.00 |
| V2781 | Progressive lens per lens | 43 | 28 | $0.00 |