NPI: 1699972364 · IRVING, TX 75062 · 207W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 118 | $3K |
| 2020 | 940 | $29K |
| 2021 | 2,935 | $78K |
| 2022 | 4,441 | $156K |
| 2023 | 6,142 | $253K |
| 2024 | 3,999 | $187K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92060 | 3,119 | 2,988 | $151K | |
| 92004 | 970 | 932 | $110K | |
| 92014 | 1,227 | 1,182 | $110K | |
| V2020 | Vision svcs frames purchases | 3,006 | 2,939 | $90K |
| 92012 | 1,293 | 1,235 | $83K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 2,212 | 2,184 | $53K |
| 92015 | 2,313 | 2,226 | $32K | |
| V2784 | Lens polycarb or equal | 2,804 | 2,746 | $24K |
| 67311 | 24 | 24 | $24K | |
| 92285 | 905 | 861 | $14K | |
| V2101 | Single visn sphere 4.12-7.00 | 541 | 537 | $12K |
| V2100 | Lens spher single plano 4.00 | 135 | 120 | $3K |
| 92340 | 26 | 26 | $0.00 |