NPI: 1538791025 · SANTA ANA, CA 92705 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 14 | $111.02 |
| 2023 | 106 | $1K |
| 2024 | 396 | $312.21 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 68 | 68 | $970.60 |
| 92340 | 24 | 24 | $181.22 | |
| 92015 | 26 | 26 | $124.00 | |
| 92083 | 12 | 12 | $112.18 | |
| 92004 | 61 | 61 | $80.64 | |
| 99214 | 63 | 62 | $74.62 | |
| 92134 | 70 | 70 | $48.19 | |
| 2022F | 43 | 41 | $0.00 | |
| 2026F | 15 | 14 | $0.00 | |
| 99204 | 91 | 90 | $0.00 | |
| 2024F | 15 | 14 | $0.00 | |
| 92014 | 12 | 12 | $0.00 | |
| 99213 | 16 | 14 | $0.00 |