NPI: 1598850133 · RICHARDSON, TX 75081 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $335.16 |
| 2019 | 31 | $2K |
| 2020 | 2,006 | $63K |
| 2021 | 5,810 | $196K |
| 2022 | 2,819 | $76K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,041 | 1,005 | $97K | |
| V2020 | Vision svcs frames purchases | 2,136 | 2,029 | $85K |
| S0621 | Routine ophthalmological exa | 1,247 | 1,214 | $57K |
| V2100 | Lens spher single plano 4.00 | 1,430 | 1,353 | $28K |
| 92015 | 1,552 | 1,456 | $19K | |
| 92004 | 102 | 101 | $12K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 507 | 465 | $9K |
| V2025 | Eyeglasses delux frames | 258 | 256 | $9K |
| 92012 | 213 | 191 | $9K | |
| V2784 | Lens polycarb or equal | 1,997 | 1,907 | $6K |
| S0620 | Routine ophthalmological exa | 45 | 44 | $2K |
| 92025 | 59 | 58 | $2K | |
| 92002 | 31 | 29 | $1K | |
| 92060 | 17 | 13 | $610.12 | |
| V2107 | Spherocylinder 4.25d/12-2d | 14 | 12 | $216.82 |
| 99072 | 29 | 28 | $10.00 |