NPI: 1609074913 · WACO, TX 76712 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 26 | $404.66 |
| 2022 | 63 | $3K |
| 2023 | 3,258 | $183K |
| 2024 | 2,175 | $118K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 1,285 | 1,271 | $81K | |
| 92014 | 807 | 799 | $81K | |
| 92004 | 453 | 451 | $55K | |
| V2025 | Eyeglasses delux frames | 598 | 592 | $39K |
| 92015 | 1,409 | 1,392 | $22K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 525 | 503 | $11K |
| V2020 | Vision svcs frames purchases | 252 | 246 | $9K |
| 92083 | 69 | 69 | $3K | |
| 92025 | 112 | 112 | $3K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $198.66 |