NPI: 1629355474 · GARLAND, TX 75040 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 56 | $2K |
| 2019 | 93 | $2K |
| 2020 | 377 | $20K |
| 2021 | 2,128 | $114K |
| 2022 | 697 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 825 | 810 | $73K | |
| 92004 | 585 | 572 | $61K | |
| 92015 | 1,416 | 1,382 | $19K | |
| V2020 | Vision svcs frames purchases | 268 | 251 | $5K |
| V2100 | Lens spher single plano 4.00 | 182 | 169 | $4K |
| 92250 | 39 | 38 | $2K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 18 | 18 | $338.26 |
| V2784 | Lens polycarb or equal | 18 | 18 | $234.00 |