NPI: 1669870713 · SHERMAN, TX 75092 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 220 | $6K |
| 2019 | 288 | $6K |
| 2020 | 924 | $12K |
| 2021 | 3,767 | $44K |
| 2022 | 3,455 | $41K |
| 2023 | 6,258 | $76K |
| 2024 | 3,890 | $63K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 5,548 | 5,200 | $88K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 3,121 | 2,901 | $50K |
| V2100 | Lens spher single plano 4.00 | 1,683 | 1,620 | $31K |
| V2784 | Lens polycarb or equal | 5,299 | 5,003 | $27K |
| V2025 | Eyeglasses delux frames | 730 | 685 | $21K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 888 | 785 | $11K |
| 92340 | 374 | 373 | $11K | |
| V2750 | Anti-reflective coating | 808 | 778 | $9K |
| V2105 | Spherocylinder 4.00d/4.25-6d | 55 | 54 | $1K |
| V2107 | Spherocylinder 4.25d/12-2d | 54 | 54 | $748.75 |
| V2799 | Misc vision item or service | 242 | 226 | $163.14 |